Healthcare Provider Details

I. General information

NPI: 1346253853
Provider Name (Legal Business Name): BRANDON DAVID TAKAHASHI D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4360 SEPULVEDA BLVD
CULVER CITY CA
90230-4722
US

IV. Provider business mailing address

4360 SEPULVEDA BLVD
CULVER CITY CA
90230-4722
US

V. Phone/Fax

Practice location:
  • Phone: 310-445-1050
  • Fax: 310-445-1060
Mailing address:
  • Phone: 310-445-1050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25299
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: