Mitsumori, Jane M.

Mitsumori, Jane M. is an individual health care provider with primary practice located at 9122 Adams Ave , Huntington Beach CA 92646-3405. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Mitsumori, Jane M. can be contacted via phone (714) 962-1780.

Contact Information

Primary practice address
9122 Adams Ave Huntington Beach CA 92646-3405
Phone: (714) 962-1780
Fax: (714) 378-5166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT10043 California

Profile Details

NPI number 1073636478
LBN Legal business name Mitsumori, Jane M.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Dec 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073636478 NPPES
California Other PT10043 STATE LICENSE #

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