Izumigawa, Justin

Izumigawa, Justin is an individual health care provider with primary practice located at 2275 S Main St Ste 201 , Corona CA 92882-5303. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Izumigawa, Justin can be contacted via phone (951) 279-3222.

Contact Information

Primary practice address
2275 S Main St Ste 201 Corona CA 92882-5303
Phone: (951) 279-3222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1316211568
LBN Legal business name Izumigawa, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2012
Last updated Apr 25th, 2016 - 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.

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