| Sho Izumi, Dds, Inc | |
|
23545 Crenshaw Blvd Suite 105 Torrance CA 90505-5218 | |
| (310) 323-2320 | |
| Not Available |
| Full Name | Sho Izumi, Dds, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23545 Crenshaw Blvd, Torrance, California |
| Authorized Official Name and Position | Sho Izumi (PRESIDENT) |
| Authorized Official Contact | 8182596740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sho Izumi, Dds, Inc 1568 W Artesia Sq Unit F Gardena CA 90248-4735 Ph: () - | Sho Izumi, Dds, Inc 23545 Crenshaw Blvd Suite 105 Torrance CA 90505-5218 Ph: (310) 323-2320 |
| NPI Number | 1083081236 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 08/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083081236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 64992 (California) | Primary |
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