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Dr. Ryota Justin Aizawa, DC

Chiropractor in Fremont, CA. Individual provider (NPI-1).

NPI number1487498366
StatusActive
Last updated in NPPESDec 2, 2024

Details

NPI
1487498366
Entity type
Individual (NPI-1)
Name
Dr. Ryota Justin Aizawa
Credential
DC
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 24, 2024
Certification date
Dec 2, 2024
Last updated
Dec 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor36976CAYes

Practice location

2140 Peralta Blvd Ste 102
Fremont, CA 94536-3959

Phone 510-936-2631 · Fax 510-902-7808

Mailing address

2140 Peralta Blvd Ste 102
Fremont, CA 94536-3959

Phone 510-936-2631 · Fax 510-902-7808

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