person
Derek Miyamoto
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1295866317

Derek Miyamoto is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Derek Miyamoto practices in Los Angeles, CA. The NPI Number for Derek Miyamoto is 1295866317 and holds a License No. (California).

The current practice location address for Derek Miyamoto is 333 S Beaudry Ave, Los Angeles, CA and can be reached out via phone at 213-241-3841 and via fax at 213-241-3305.

Location: 333 S Beaudry Ave, Los Angeles, CA, 90017-1466
person
Provider Profile Details
NPI Number
1295866317
Provider Name
Derek Miyamoto
Credential
Provider Entity Type
Individual
Gender
Male
Address
333 S Beaudry Ave, Los Angeles, CA, 90017-1466
Phone Number
213-241-3841
Fax Number
213-241-3305
Provider Enumeration Date
03/08/2007
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
333 S Beaudry Ave
City
State
Zip
90017-1466
Phone Number
213-241-3841
Fax Number
213-241-3305
person
Provider Business Mailing Address Details
Address
333 S Beaudry Ave
City
State
Zip
90017-1466
Phone Number
213-241-3841
Fax Number
213-241-3305
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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