Provider Demographics
NPI:1316447576
Name:SAIKI, DAISUKE DEAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:DAISUKE
Middle Name:DEAN
Last Name:SAIKI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1426 AVIATION BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-4062
Mailing Address - Country:US
Mailing Address - Phone:310-798-8899
Mailing Address - Fax:310-798-8810
Practice Address - Street 1:1426 AVIATION BLVD.
Practice Address - Street 2:204
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278
Practice Address - Country:US
Practice Address - Phone:310-798-8899
Practice Address - Fax:310-798-8810
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293449225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist