Individual
ERIKO SHIMOJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12562 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1907
(714) 705-4027
Mailing address
101 W MISSION BLVD, ST. #110 BOX #397, POMONA, CA 91766-1711
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48151
PTA
CA
Enumeration date
09/15/2016
Last updated
09/15/2016
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