Koyama Chiropractic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31898 Issued in CA

Legal business name

KOYAMA CHIROPRACTIC CORP

Doing business as

Koyama chiropractic and acupuncture clinic

Practice address

12629 W Washington Blvd
Los Angeles, CA 90066-2303

Phone

(310) 391-6125

Fax

(310) 391-7117

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Taesung Byun

Title

Owner/ President

Phone

(310) 391-6125

Specialties & licenses 2

Addresses

Other names 1

• Koyama chiropractic and acupuncture clinic Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hironari Koyama, D.C.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1659638369
  NPD (past)
• Saori Minota, SAORI MINOTA

  • Acupuncturist
  • Lomita, CA
  • NPI 1134486798
  NPD (past)
• Mark Scott Okuno, D.C.

  • Sports Physician Chiropractor
  • Los Angeles, CA
  • NPI 1548460058
  NPD (past)

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1770966475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12629 W WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662303",
            "telephone_number": "310-391-6125",
            "fax_number": "310-391-7117"
        },
        {
            "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",
            "fax_number": "310-391-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOYAMA CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "BYUN",
        "authorized_official_first_name": "TAESUNG",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "310-391-6125"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31898",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC14432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koyama chiropractic and acupuncture clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasuko Kowalchuk, MSW, LCSW
• Devin E Kowalczyk, PHD, LP
• John James Kowalczyk, DO
• Richard Casey Kowalski, PHARMD
• Koyama Chiropractic Corp
• Hironari Koyama, D.C.
• Samantha Koyama
• Nicolina Kozak
• Kathryn Connelly Kozakowski
• Philip Andrew Kozan, MD

• 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 Jun 30, 2015; 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.