| NPI | 1780013474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON LEE President 213-383-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA C32413) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC12170) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |