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 |