Healthcare Provider Details

I. General information

NPI: 1992150403
Provider Name (Legal Business Name): ROBERTO KENJI MITSUI AKAGI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2016
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23141 MOULTON PKWY #102
LAGUNA HILLS CA
92653
US

IV. Provider business mailing address

23141 MOULTON PKWY #102
LAGUNA HILLS CA
92653
US

V. Phone/Fax

Practice location:
  • Phone: 949-916-9100
  • Fax: 949-916-0091
Mailing address:
  • Phone: 949-916-9100
  • Fax: 949-916-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number55329
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: