Organization
BRYAN IMOTO O.D. OPTOMETRIC CORPORATION
Active
Other names
Artesia I Care Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN TAKANORI IMOTO OD (CEO)
(562) 860-1717
Entity
Organization
Contact information
Practice address
11436 ARTESIA BLVD STE D, ARTESIA, CA 90701-3859
(562) 860-1717
(562) 865-5184
Mailing address
11436 ARTESIA BLVD STE D, ARTESIA, CA 90701-3859
(562) 860-1717
(562) 865-5184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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