| NPI | 1750847562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL GERARDO OCHOA-REA CEO 619-300-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2019-09-30 |