| NPI | 1770910895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI QUETZAL Secretary/Treasurer 818-757-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 171100000X Acupuncturist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |