| NPI | 1891164117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E KORTMEYER President 760-321-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 23036) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 22829) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2016-05-18 |