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NPI Code Detail

MEDICARE: NARIMATSU MEDICAL CORPORATION

MEDICARE: NARIMATSU MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/CenterA88839CA

General Provider Information

NPI Number : 1912938150
Entity Type Code : Organization
Provider Name (Legal Business Name) : NARIMATSU MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 221 ROSECRANS AVE
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-3277
Country : US
Telephone Number : 310-922-7201
Fax Number : 310-670-6735
Provider Business Practice Location Address
First Line : 1200 N VERMONT AVE STE D
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-1760
Country : US
Telephone Number : 323-953-1180
Fax Number : 323-953-1179
Authorized Official
Title or Position : PRESIDENT/CEO
Name : SCOTT KIYOSHI NARIMATSU
Credential : M.D.
Telephone Number : 310-922-7601
Provider Enumeration Date : 07/05/2006
Last Update Date : 08/22/2020

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Directions to “NARIMATSU MEDICAL CORPORATION ” Practice Location

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