ACTIVE PHYSICAL MEDICINE
Organization (NPI-2)
Active
Chiropractor
Provider Information
- NPI Number
1659651677- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7890 HAVEN AVE SUITE 1, RANCHO CUCAMONGA, CA, 917303051
- Phone
- (619) 265-0291
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Pain Medicine
Chiropractor
Primary License: CA