| NPI | 1760754758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM NOORIVAZIRI Provider / Owner 925-949-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC31165) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |