Provider Demographics
NPI:1447764154
Name:JAPANESE HEALING INC
Entity Type:Organization
Organization Name:JAPANESE HEALING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAKESHI
Authorized Official - Middle Name:
Authorized Official - Last Name:KOMATSU
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM ATC LAC
Authorized Official - Phone:310-991-0729
Mailing Address - Street 1:11340 W. OLYMPIC BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-1613
Mailing Address - Country:US
Mailing Address - Phone:310-991-0729
Mailing Address - Fax:424-203-3005
Practice Address - Street 1:11340 W OLYMPIC BLVD STE 340
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-1613
Practice Address - Country:US
Practice Address - Phone:310-991-0729
Practice Address - Fax:424-203-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7799171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty