Provider Demographics
NPI:1689880676
Name:JAPANESE PERFORMERS INC
Entity Type:Organization
Organization Name:JAPANESE PERFORMERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAKAYUKI
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMOHIRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-910-5634
Mailing Address - Street 1:3655 LOMITA BLVD STE 308
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3934
Mailing Address - Country:US
Mailing Address - Phone:310-910-5634
Mailing Address - Fax:
Practice Address - Street 1:3655 LOMITA BLVD STE 308
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3934
Practice Address - Country:US
Practice Address - Phone:310-910-5634
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29719111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty