| NPI | 1821126681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH GIAQUINTO President 310-315-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CA DC 28952) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-05-12 |