Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND-227 | CA |
NPI | 1003939950 |
---|---|
Provider Name | Dr. Eiji Ozawa |
First Address | Torrance, CA 90505 |
Second Address | Torrance, CA 90505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2007 |
Last Update Date | 09/02/2015 |