NPI 1003483066

Eric Masayoshi Imoto

Practitioner Peer Specialist Orange, CA

Practice location

Address: 401 S Tustin St Bldg C, Orange, CA 92866-2550
Phone: (714) 361-4860

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1003483066
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2021
Record last updated: 8 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.