Provider Demographics
NPI:1437807823
Name:AKANUMA, AKIKO (DC)
Entity Type:Individual
Prefix:DR
First Name:AKIKO
Middle Name:
Last Name:AKANUMA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W VALLEY BLVD
Mailing Address - Street 2:STE 102
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803
Mailing Address - Country:US
Mailing Address - Phone:626-282-7300
Mailing Address - Fax:626-282-7380
Practice Address - Street 1:801 W VALLEY BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3256
Practice Address - Country:US
Practice Address - Phone:626-282-7380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor