MEDICARE: CHRISTOPHER AOYAMA CHIROPRACTIC CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC33860	CA

General Provider Information

NPI Number	:	1427570175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTOPHER AOYAMA CHIROPRACTIC CORPORATION

Provider Business Mailing Address
First Line	:	2131 S. HACIENDA BLVD.
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745
Country	:	US
Telephone Number	:	626-333-8877
Fax Number	:	626-333-7727

Provider Business Practice Location Address
First Line	:	2131 S. HACIENDA BLVD.
Second Line	:
City	:	HACIENDA HEIGHTS
State	:	CA
Zip	:	91745
Country	:	US
Telephone Number	:	626-333-8877
Fax Number	:	626-333-7727

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	MR. CHRISTOPHER HIROFUMI AOYAMA
Credential	:	DOCTOR OF CHIROPRACT
Telephone Number	:	626-333-8877

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	07/14/2017

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