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NPI Code Detail

MEDICARE: WAYNE EICHI HIGASHI D.C.

MEDICARE: WAYNE EICHI HIGASHI D.C.
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
1111N00000XChiropractorDC27775CA

General Provider Information

NPI Number : 1528073848
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAYNE EICHI HIGASHI D.C.
Provider Business Mailing Address
First Line : 3030 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-1408
Country : US
Telephone Number : 310-390-9018
Fax Number : 310-390-0868
Provider Business Practice Location Address
First Line : 3030 SAWTELLE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-1408
Country : US
Telephone Number : 310-390-9018
Fax Number : 310-390-0868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2006
Last Update Date : 12/06/2016

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Directions to “ WAYNE EICHI HIGASHI D.C.” Practice Location

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