Healthcare Provider Details

I. General information

NPI: 1649281387
Provider Name (Legal Business Name): NAOZUMI ARAI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 BAKER ST
COSTA MESA CA
92626-3731
US

IV. Provider business mailing address

1535 BAKER ST
COSTA MESA CA
92626-3731
US

V. Phone/Fax

Practice location:
  • Phone: 714-546-1947
  • Fax: 714-546-1960
Mailing address:
  • Phone: 714-546-1947
  • Fax: 714-546-1960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC27385
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC05812
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: