| NPI | 1881499507 |
|---|---|
| Doing Business As | WEST LA SPINE AND REHAB |
| Entity Type | Organization |
| Authorized Contact | JODIE GIBSON CEO 870-273-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition |
| 111NR0400X Chiropractor, Rehabilitation | |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |