Healthcare Provider Details

I. General information

NPI: 1366119018
Provider Name (Legal Business Name): LEO UEMURA CHIROPRACTIC INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21535 HAWTHORNE BLVD STE 270
TORRANCE CA
90503-6638
US

IV. Provider business mailing address

21535 HAWTHORNE BLVD STE 270
TORRANCE CA
90503-6638
US

V. Phone/Fax

Practice location:
  • Phone: 424-201-0036
  • Fax:
Mailing address:
  • Phone: 424-201-0036
  • 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. LEO UEMURA
Title or Position: PRESIDENT
Credential: DC
Phone: 424-201-0036