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1659638369 NPI number — HIRONARI KOYAMA D.C.

NPI Number: 1659638369
Health Care Provider/Practitioner: HIRONARI KOYAMA D.C.

Information about “1659638369” NPI (HIRONARI KOYAMA D.C.) exists in 1659638369 in HTML format HTML  |  1659638369 in plain Text format TXT  |  1659638369 in PDF (Portable Document Format) PDF  |  1659638369 in an XML format XML  formats.

NPI Number : 1659638369 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1659638369",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KOYAMA",
    "FirstName": "HIRONARI",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BYUN",
    "OtherFirstName": "TAESUNG",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.C.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "24828 OAK ST APT 6",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOMITA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90717-1622",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "310-691-4172",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12629 W WASHINGTON BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90066-2303",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "310-391-6125",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/19/2012",
    "LastUpdateDate": "08/05/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "DC31898",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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