person
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.

Location: 401 S Tustin St Bldg C, Orange, CA, 92866-2550
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
State
Zip
92866-2550
Phone Number
714-361-4860
Fax Number
person
Provider Business Mailing Address Details
Address
401 S Tustin St Bldg C
City
State
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
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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