| NPI | 1740251594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WAKIM Medical Director 714-841-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA 19041) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A4964) |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A4685) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A4153) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A70813) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 17911) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A29528) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA 20A8191) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |