NPI | 1902082902 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELO CHARONIS President 650-631-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27902) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A91713) |
Enumeration Date | 2008-01-21 |
Last Update Date | 2016-08-30 |