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Individual

NOAH SAKAMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
1048 IRVINE AVE # 1056, NEWPORT BEACH, CA 92660-4602
(714) 488-9976
(714) 495-4105
Mailing address
1048 IRVINE AVE # 1056, NEWPORT BEACH, CA 92660-4602

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
760050
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018977
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
881425083
INTERNAL REVENUE SERVICES
CA
Enumeration date
04/24/2021
Last updated
01/19/2025
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