| NPI | 1861751976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS KRAETZER Partner 714-964-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A93966) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC21027) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |