Search › California › 172V00000X
Douglas Imura
NPI 1790213767 · on the registry since 2017 · sole proprietor
Practice
- Address
- 505 Cypress Ave
South San Francisco, CA 94080 - Phone
- (650) 380-6149
- Fax
- (650) 952-5846
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California