Provider Demographics
NPI:1861759557
Name:TATSUNO CHIROPRACITC INC
Entity type:Organization
Organization Name:TATSUNO CHIROPRACITC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:T
Authorized Official - Last Name:TATSUNO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:661-322-6021
Mailing Address - Street 1:PO BOX 9399
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93389-9399
Mailing Address - Country:US
Mailing Address - Phone:661-322-6021
Mailing Address - Fax:661-322-9313
Practice Address - Street 1:3900 TRUXTUN AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0600
Practice Address - Country:US
Practice Address - Phone:661-322-6021
Practice Address - Fax:661-322-9313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0122950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty