| NPI | 1790018695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WARREN President 714-963-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC22886) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC22944) |
| 225100000X Physical Therapist (Licence: CA PT11954) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2019-08-19 |