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Physician Compare National (NPI:1316938780)

HEALTHCARE PROVIDER: MILTON M NAKANO OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1316938780
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6305013970
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120123000426
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name NAKANO
Individual professional last name
Provider First Name MILTON
Individual professional first name
Provider Middle Name M
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1974
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2795 W LINCOLN AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE L
Group Practice or individual's line 2 address
City ANAHEIM
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 928016334
Group Practice or individual's zip code (9 digits when available)
Phone Number 7145275060
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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