Provider Demographics
NPI:1508937954
Name:MURO, SACHIKO (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:SACHIKO
Middle Name:
Last Name:MURO
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2383 LOMITA BLVD STE 111
Mailing Address - Street 2:
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-1433
Mailing Address - Country:US
Mailing Address - Phone:310-408-9460
Mailing Address - Fax:
Practice Address - Street 1:2383 LOMITA BLVD STE 111
Practice Address - Street 2:
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-1433
Practice Address - Country:US
Practice Address - Phone:310-408-9460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10611171100000X
CA29813111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist