| NPI | 1902130057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PENDON CEO 310-994-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC30452) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |