Imai, Amanda M

Imai, Amanda M is an individual health care provider with primary practice located at 2742 Dow Ave , Tustin CA 92780-7242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Imai, Amanda M can be contacted via phone (714) 665-1600.

Contact Information

Primary practice address
2742 Dow Ave Tustin CA 92780-7242
Phone: (714) 665-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18741 California

Profile Details

NPI number 1508195231
LBN Legal business name Imai, Amanda M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2009
Last updated Jan 23rd, 2014 - about 10 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 1508195231 NPPES
California Other 18741 NURSE PRACTITIONER
California Other 571054 NURSE PRACTITIONER

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