| NPI | 1831182997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A GROSMAN President 818-634-8714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6729) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC25141) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2013-07-03 |