| NPI | 1992979538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C MANAGO President 949-364-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A60570) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC14686) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-12-03 |