Organization
IWAMOTO ENTERPRISES, INC.
Active
Other names
Golden State X-Ray
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC TAKEO IWAMOTO (CEO/PRESIDENT)
(818) 506-6861
Entity
Organization
Contact information
Practice address
5451 LAUREL CANYON BLVD, SUITE 202, VALLEY VILLAGE, CA 91607-2180
(818) 506-6861
(818) 506-3643
Mailing address
5451 LAUREL CANYON BLVD, SUITE 202, VALLEY VILLAGE, CA 91607-2180
(818) 506-6861
(818) 506-3643
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
FAC00046448
CA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up