NPI | 1861907198 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANT PEDERSEN Owner 408-358-5086 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: CA DC-29419) |
Additional Taxonomies | 111NS0005X Chiropractor Sports Physician (Licence: CA DC-33022) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2018-02-07 |