Provider Demographics
NPI:1619048501
Name:KUGAYA, AKIRA (MD)
Entity Type:Individual
Prefix:DR
First Name:AKIRA
Middle Name:
Last Name:KUGAYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24050 MADISON ST.
Mailing Address - Street 2:SUITE 113
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-6016
Mailing Address - Country:US
Mailing Address - Phone:424-247-9642
Mailing Address - Fax:424-247-9643
Practice Address - Street 1:24050 MADISON ST.
Practice Address - Street 2:SUITE 113
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-6016
Practice Address - Country:US
Practice Address - Phone:424-247-9642
Practice Address - Fax:424-247-9643
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA920922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
I16606Medicare UPIN