NPI | 1972672137 |
---|---|
Doing Business As | VISTA WEST HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | ALOYSIUS IFEANYI UDEZE, Director President 310-390-9293 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC24645) |
Additional Taxonomies | 111NX0100X Chiropractor, Occupational Health (Licence: CA DC24645) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2016-03-25 |