| NPI | 1871942334 |
|---|---|
| Former Legal Business Name | NEWPORT BEACH WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CORINNE ETHEL DADIVAS Chiropractor/Owner 714-686-9704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29415) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |