| NPI | 1871698431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENIC DIDOMENICANTONIO Owner Director 310-325-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27063) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA DC29152) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA DC27596) | |
| 225100000X Physical Therapist (Licence: CA PT26110) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-12-17 |