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Dr. Grant Roger Masaoka, MD
Specialist in Anaheim, California
NPI 1780677120

Grant Roger Masaoka is a Specialist based in Anaheim, CA. Grant Roger Masaoka practices in Anaheim, CA and has the professional credentials of MD. The NPI Number for Grant Roger Masaoka is 1780677120 and holds a License No. G19094 (California).

The current practice location address for Grant Roger Masaoka is 1781 W Romneya Dr, Anaheim, CA and can be reached out via phone at 714-774-0414 and via fax at 714-774-0494. You can also correspond with Grant Roger Masaoka through the mailing address at 1781 W ROMNEYA DR, ANAHEIM, CA - 92801-1818 (mailing address contact number: 714-774-0414).

Location: 1781 W Romneya Dr, Anaheim, CA, 92801-1818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780677120
Provider Name
Grant Roger Masaoka
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1781 W Romneya Dr, Anaheim, CA, 92801-1818
Phone Number
714-774-0414
Fax Number
714-774-0494
Provider Enumeration Date
08/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G190940 05 CA
institution
Provider Business Practice Location Address Details
Address
1781 W Romneya Dr
City
Anaheim
State
California
Zip
92801-1818
Phone Number
714-774-0414
Fax Number
714-774-0494
person
Provider Business Mailing Address Details
Address
1781 W Romneya Dr
City
Anaheim
State
California
Zip
92801-1818
Phone Number
714-774-0414
Fax Number
714-774-0494
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G19094 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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