| NPI | 1720500408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG S KIM Owner 714-731-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 28104) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA 28104) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |