| NPI | 1780921619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAHDIR POURTEYMOOR Chiropractor President 909-549-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32034) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |