NPI | 1730499799 |
---|---|
Entity Type | Organization |
Authorized Contact | MANDANA MOUSAVI President 714-972-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC26980) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 20A6766) |
Enumeration Date | 2010-10-08 |
Last Update Date | 2010-10-08 |