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Individual

MR. OMI IWASAKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, OCS, ATC

Contact information

Practice address
2020 SANTA MONICA BLVD, SUITE 401, SANTA MONICA, CA 90404-2023
(310) 573-8866
Mailing address
18400 AVALON BLVD, SUITE 800, CARSON, CA 90746-2172
(310) 630-2290

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25044
CA

Other

Enumeration date
12/15/2006
Last updated
12/15/2009
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