Iwai, Michael Galen

Iwai, Michael Galen is an individual health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Iwai, Michael Galen can be contacted via phone (951) 486-4531.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Phone: (951) 486-4531
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28257 California

Profile Details

NPI number 1295973949
LBN Legal business name Iwai, Michael Galen
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2009
Last updated Feb 2nd, 2009 - about 15 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 1295973949 NPPES
California MEDICAID PHE435930

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