Imoto, Eric Masayoshi

Imoto, Eric Masayoshi is an individual health care provider with primary practice located at 401 S Tustin St Bldg C , Orange CA 92866-2550. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Imoto, Eric Masayoshi can be contacted via phone (714) 361-4860.

Contact Information

Primary practice address
401 S Tustin St Bldg C Orange CA 92866-2550
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1003483066
LBN Legal business name Imoto, Eric Masayoshi
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Jun 8th, 2021 - about 4 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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