Provider Demographics
NPI:1497899918
Name:OHASHI, KENNETH KATSUMI (LAC)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:KATSUMI
Last Name:OHASHI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10757 GALVIN ST
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-5406
Mailing Address - Country:US
Mailing Address - Phone:310-384-3111
Mailing Address - Fax:310-446-5323
Practice Address - Street 1:10801 NATIONAL BLVD STE 607
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-4126
Practice Address - Country:US
Practice Address - Phone:310-384-3111
Practice Address - Fax:310-446-5323
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9457171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist