| NPI | 1922145911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D CARRICO Owner 310-540-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-04-22 |