Provider Demographics
NPI:1912477969
Name:ASANO, HITOMI (LAC)
Entity Type:Individual
Prefix:
First Name:HITOMI
Middle Name:
Last Name:ASANO
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 VAN NUYS BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1745
Mailing Address - Country:US
Mailing Address - Phone:747-998-5330
Mailing Address - Fax:
Practice Address - Street 1:4940 VAN NUYS BLVD STE 304
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1745
Practice Address - Country:US
Practice Address - Phone:310-463-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-03
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18247171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist