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NPI Code Detail

MEDICARE: MR. LARRY M TSUTSUI D.C.

MEDICARE: MR. LARRY M TSUTSUI D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor770177703CA

General Provider Information

NPI Number : 1083703508
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LARRY M TSUTSUI D.C.
Provider Business Mailing Address
First Line : 2023 N VAN NESS BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93704-6014
Country : US
Telephone Number : 559-226-3400
Fax Number : 559-226-3963
Provider Business Practice Location Address
First Line : 2023 N VAN NESS BLVD
Second Line :
City : FRESNO
State : CA
Zip : 93704-6014
Country : US
Telephone Number : 559-226-3400
Fax Number : 559-226-3963
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 09/20/2016

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