Doctor Name: | MASAHARU SASAKI |
NPI Number: | 1720157308 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C.,L.AC. |
License Number: | DC16511 |
Business Practice Address: | 13420 Newport Ave Suite E Tustin, CA - 927803745 |
Business Phone Number: | 7146651354 |
Business Fax Number: | 7146651364 |
Mailing Address: | 13420 Newport Ave, Suite E TUSTIN |
State: | CA |
Postal Code: | 927803745 |
Phone Number: | 7146651354 |
Fax Number: | 7146651364 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 08/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC16511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |