Imamoto, Nancy Tang

Imamoto, Nancy Tang is an sole proprietor health care provider with primary practice located at 1713 W Artesia Blvd , Gardena CA 90248-3220. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Imamoto, Nancy Tang can be contacted via phone (310) 329-4128.

Contact Information

Primary practice address
1713 W Artesia Blvd Gardena CA 90248-3220
Phone: (310) 329-4128
Fax: (310) 329-9180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT 11361T California

Profile Details

NPI number 1790768794
LBN Legal business name Imamoto, Nancy Tang
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Jul 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790768794 NPPES
California Other 16618 MEDICAL EYE SERVICES
California Other CA1361 MEDICAL EYE SERVICES

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