| NPI | 1801100151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY GARY CLEMENTS President 562-986-2865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC28049) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30736) |
| 111N00000X Chiropractor (Licence: CA DC16294) | |
| 171100000X Acupuncturist (Licence: CA LAC11348) | |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |