Individual
MR. CHRISTIAN TOSHIO HISAMUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10474 SANTA MONICA BLVD, SUITE 435, LOS ANGELES, CA 90025-6929
(310) 275-4137
Mailing address
10474 SANTA MONICA BLVD, STE 435, LOS ANGELES, CA 90025-6932
(310) 869-9012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12085
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT12088A
PERFORMING PROVIDER IDENT
—
Enumeration date
11/15/2006
Last updated
02/09/2017
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