| NPI | 1912257478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY ARTHUR HOLLIS Clinic Director 949-336-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A35456) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC21715) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-20 |