Hayata, Nancy Tomomi

Hayata, Nancy Tomomi is an individual health care provider with primary practice located at 7098 Edinger Ave Beach Cities Podiatry Group Inc, Huntington Beach CA 92647. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Hayata, Nancy Tomomi can be contacted via phone (714) 848-3663.

Contact Information

Primary practice address
7098 Edinger Ave Beach Cities Podiatry Group Inc Huntington Beach CA 92647
Phone: (714) 848-3663
Fax: (714) 848-0565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4086 California

Profile Details

NPI number 1336126614
LBN Legal business name Hayata, Nancy Tomomi
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Nov 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336126614 NPPES
California MEDICAID OOOE40860

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