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NPI Code Detail

MEDICARE: NORIKO OZAWA

MEDICARE:   NORIKO  OZAWA
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
1225700000XMassage Therapist59166CA

General Provider Information

NPI Number : 1710738430
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORIKO OZAWA
Provider Business Mailing Address
First Line : 3324 CASTLE HEIGHTS AVE APT 232
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-2732
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3324 CASTLE HEIGHTS AVE APT 232
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-2732
Country : US
Telephone Number : 310-310-1034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2024
Last Update Date : 03/29/2024

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Directions to “ NORIKO OZAWA ” Practice Location

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