SHOGO TAKAYAMA

LOS ANGELES, CA
NPI1538855580
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  11085)
Enumeration Date2023-04-13
Last Update Date2023-04-13
Business Address
SHOGO TAKAYAMA
6080 CENTER DR. 6TH FLOOR SUITE #639
LOS ANGELES, CA 90045
Phone number: 323-972-7068
Mailing Address
SHOGO TAKAYAMA
1309 AMHERST AVE APT 104
LOS ANGELES, CA 90025-2030
Phone number: 323-559-0276
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