# IWAMOTO ENTERPRISES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden State X-Ray
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023408580
- **Authorized official:** MR. ERIC TAKEO IWAMOTO (CEO/PRESIDENT)
- **Authorized official phone:** (818) 506-6861

## Contact information

- **Practice address:** 5451 LAUREL CANYON BLVD, SUITE 202, VALLEY VILLAGE, CA 91607-2180
- **Practice address phone:** (818) 506-6861
- **Practice address fax:** (818) 506-3643
- **Mailing address:** 5451 LAUREL CANYON BLVD, SUITE 202, VALLEY VILLAGE, CA 91607-2180
- **Mailing address phone:** (818) 506-6861
- **Mailing address fax:** (818) 506-3643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 292200000X | Dental Laboratory | FAC00046448 | CA | Yes |

## Other

- **Enumeration date:** 02/04/2015
- **Last updated:** 02/04/2015