Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CA30147 | CA |
NPI | 1356507164 |
---|---|
Provider Name | Dr. Kazuomi Arai |
First Address | Pacific Palisades, CA 90272-3624 |
Second Address | Pacific Palisades, CA 90272-3624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 31/07/2008 |