Healthcare Provider Details

I. General information

NPI: 1245577253
Provider Name (Legal Business Name): KOBAYASHI CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2013
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N TUSTIN AVE SUITE 355
SANTA ANA CA
92705-8644
US

IV. Provider business mailing address

1401 N TUSTIN AVE SUITE 355
SANTA ANA CA
92705-8644
US

V. Phone/Fax

Practice location:
  • Phone: 657-888-5151
  • Fax:
Mailing address:
  • Phone: 657-888-5151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. AKIKO KOBAYASHI
Title or Position: PRESIDENT
Credential: D.C.
Phone: 657-888-5151