Provider Demographics
NPI:1053332049
Name:GINOZA & NAKANO, A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:GINOZA & NAKANO, A CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-518-7011
Mailing Address - Street 1:357 E CARSON ST
Mailing Address - Street 2:STE. 100
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-2745
Mailing Address - Country:US
Mailing Address - Phone:310-518-7011
Mailing Address - Fax:310-518-6009
Practice Address - Street 1:357 E CARSON ST
Practice Address - Street 2:STE. 100
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-2745
Practice Address - Country:US
Practice Address - Phone:310-518-7011
Practice Address - Fax:310-518-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23074111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty