MEDICARE: DR. JOHN K SAWAMURA 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
1	111N00000X	Chiropractor	DC 24590	CA

General Provider Information

NPI Number	:	1851403463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN K SAWAMURA D.C.

Provider Business Mailing Address
First Line	:	421 N BROOKHURST ST STE 106
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-5618
Country	:	US
Telephone Number	:	714-774-8777
Fax Number	:	909-469-0069

Provider Business Practice Location Address
First Line	:	421 N BROOKHURST ST STE 106
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92801-5618
Country	:	US
Telephone Number	:	714-774-8777
Fax Number	:	909-469-0069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	10/28/2022

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