Imamoto, Nancy Tang
Imamoto, Nancy Tang is an sole proprietor health care provider with primary practice located at 1713 W Artesia Blvd , Gardena CA 90248-3220. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Imamoto, Nancy Tang can be contacted via phone (310) 329-4128.Contact Information
Primary practice address
1713 W Artesia Blvd
Gardena CA 90248-3220
Phone: (310) 329-4128
Fax: (310) 329-9180
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OPT 11361T | California |
Profile Details
NPI number | 1790768794 |
---|---|
LBN Legal business name | Imamoto, Nancy Tang |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 22nd, 2005 |
Last updated | Jul 17th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790768794 | NPPES |
California | Other | 16618 | MEDICAL EYE SERVICES |
California | Other | CA1361 | MEDICAL EYE SERVICES |
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