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Eric Masayoshi Imoto
Peer Specialist in Orange, California
NPI 1003483066

Eric Masayoshi Imoto is a Peer Specialist based in Orange, CA. Eric Masayoshi Imoto practices in Orange, CA. The NPI Number for Eric Masayoshi Imoto is 1003483066 and holds a License No. (California).

The current practice location address for Eric Masayoshi Imoto is 401 S Tustin St Bldg C, Orange, CA and can be reached out via phone at 714-361-4860. You can also correspond with Eric Masayoshi Imoto through the mailing address at 401 S TUSTIN ST BLDG C, ORANGE, CA - 92866-2550 (mailing address contact number: 714-361-4860).

Location: 401 S Tustin St Bldg C, Orange, CA, 92866-2550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003483066
Provider Name
Eric Masayoshi Imoto
Credential
Provider Entity Type
Individual
Gender
Male
Address
401 S Tustin St Bldg C, Orange, CA, 92866-2550
Phone Number
714-361-4860
Fax Number
Provider Enumeration Date
06/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 S Tustin St Bldg C
City
Orange
State
California
Zip
92866-2550
Phone Number
714-361-4860
Fax Number
person
Provider Business Mailing Address Details
Address
401 S Tustin St Bldg C
City
Orange
State
California
Zip
92866-2550
Phone Number
714-361-4860
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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