| NPI | 1902129505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M KENNY CEO 925-838-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA dc25578) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |