| NPI | 1912130717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P HIRSCH President 510-444-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: CA 616870) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 29962) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |