Naito, Stacey Kikumi

Naito, Stacey Kikumi is an sole proprietor health care provider with primary practice located at 9900 Balboa Blvd Suite E, Northridge CA 91325-5403. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Naito, Stacey Kikumi can be contacted via phone (818) 701-0017.

Contact Information

Primary practice address
9900 Balboa Blvd Suite E Northridge CA 91325-5403
Phone: (818) 701-0017
Fax: (818) 701-0073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 20A8154 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A8154 California

Profile Details

NPI number 1902106560
LBN Legal business name Naito, Stacey Kikumi
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2010
Last updated Oct 29th, 2010 - about 16 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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