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Organization
STACEY NAITO D.O. INC
Active
Organization
STACEY NAITO D.O. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY KIKUMI NAITO DO (DIRECTOR)
(818) 221-3096
Entity
Organization
Contact information
Practice address
9043 WOODMAN AVE STE C, ARLETA, CA 91331-6493
(818) 221-3096
Mailing address
9043 WOODMAN AVE STE C, ARLETA, CA 91331-6493
(818) 221-3096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
05/15/2020
Last updated
05/15/2020
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