Jun Koizumi

NPI 1609228360 · on the registry since 2016 · sole proprietor

Practice

Address: 1088 S La Brea Ave
Los Angeles, CA 90019
Phone: (323) 295-0262
Fax: (323) 295-2375
Organisation at this address: Asian American Drug Abuse Program, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California