Healthcare Provider Details

I. General information

NPI: 1801726468
Provider Name (Legal Business Name): LOREN NAKAI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 AUBURN RAVINE RD STE G
AUBURN CA
95603-3930
US

IV. Provider business mailing address

PO BOX 6346
AUBURN CA
95604-6346
US

V. Phone/Fax

Practice location:
  • Phone: 530-888-8767
  • Fax: 530-888-8757
Mailing address:
  • Phone: 530-888-8767
  • Fax: 530-888-8757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License NumberCI32690421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: