Hironari Koyama, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31898 Issued in CA

Practice address

12629 W Washington Blvd
Los Angeles, CA 90066-2303

Phone

(310) 391-6125

NPI assigned

Apr 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Taesung Byun Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Koyama Chiropractic Corp

  • Chiropractor
  • Los Angeles, CA
  • NPI 1295272193
  NPD (past)
• Koyama Chiropractic Corp

  • Chiropractor
  • Los Angeles, CA
  • NPI 1770966475
  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1659638369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24828 OAK ST APT 6",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171622",
            "telephone_number": "310-691-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12629 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662303",
            "telephone_number": "310-391-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOYAMA",
        "first_name": "HIRONARI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAESUNG",
            "last_name": "BYUN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devin E Kowalczyk, PHD, LP
• John James Kowalczyk, DO
• Richard Casey Kowalski, PHARMD
• Koyama Chiropractic Corp
• Koyama Chiropractic Corp
• Samantha Koyama
• Nicolina Kozak
• Kathryn Connelly Kozakowski
• Philip Andrew Kozan, MD
• Melanie Morgan Kozar, RBT

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.