| NPI | 1932990793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MILLER Colletor 562-566-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic |
| Additional Taxonomies | 103T00000X Psychologist |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |