Imura, Douglas Tom

Imura, Douglas Tom is an sole proprietor health care provider with primary practice located at 505 Cypress Ave , South San Francisco CA 94080-2922. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Imura, Douglas Tom can be contacted via phone (650) 380-6149.

Contact Information

Primary practice address
505 Cypress Ave South San Francisco CA 94080-2922
Phone: (650) 380-6149
Fax: (650) 952-5846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1790213767
LBN Legal business name Imura, Douglas Tom
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2017
Last updated Jun 2nd, 2017 - about 7 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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