| NPI | 1942904610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HERRERA Doctor 951-961-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology |
| 111NP0017X Chiropractor Pediatric Chiropractor | |
| 111NR0400X Chiropractor Rehabilitation | |
| 111NS0005X Chiropractor Sports Physician | |
| 111NX0800X Chiropractor Orthopedic | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |