Healthcare Provider Details

I. General information

NPI: 1508426800
Provider Name (Legal Business Name): KEIKO HAMANO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2019
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12833 VENTURA BLVD UNIT 153
STUDIO CITY CA
91604-2368
US

IV. Provider business mailing address

20555 DEVONSHIRE ST # 318
CHATSWORTH CA
91311-3208
US

V. Phone/Fax

Practice location:
  • Phone: 323-826-5277
  • Fax:
Mailing address:
  • Phone: 562-265-8382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: