Mizuho Mori, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000058452 Issued in CA

Practice address

4165 Chatwin Ave
Lakewood, CA 90713-3005

Phone

(909) 929-5703

NPI assigned

Jun 28, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751068800000",
    "number": "1598654394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 CHATWIN AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907133005",
            "telephone_number": "909-929-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 CHATWIN AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907133005",
            "telephone_number": "909-929-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORI",
        "first_name": "MIZUHO",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000058452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Morales-Hansen
• Nayeli Morales
• Susan Scott Morales, PHARMD
• Cameon Rae Morgan, MSW, LCSW
• Christine Morgutia
• Bianay Morones-Cano
• Reshe Mosley
• Suraiya Motala
• Dalana Ayana Moton-Wicker
• Golaleh Mousavi

• Athletic Trainer in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.