| NPI | 1720509631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUPREET SHAH Clinic Director 415-421-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32975) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 16580) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-07-21 |