Healthcare Provider Details

I. General information

NPI: 1952081259
Provider Name (Legal Business Name): MAYUZUMI MEIKO MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2023
Last Update Date: 07/20/2023
Certification Date: 07/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 TORRANCE BLVD STE B-1
TORRANCE CA
90503-4011
US

IV. Provider business mailing address

21622 SCANNEL AVE
TORRANCE CA
90503-6243
US

V. Phone/Fax

Practice location:
  • Phone: 800-829-8660
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MEIKO MAYUZUMI
Title or Position: CEO
Credential: MD
Phone: 808-772-3946