| NPI | 1841583135 |
|---|---|
| Former Legal Business Name | NORTHERN CALIFORNIA CHIROPRACTIC & SPORTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ANGELO President/CEO/Owner 916-933-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC30036) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |