Individual
MR. AKIRA BOB NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
910 MAR VISTA AVENUE, SEAL BEACH, CA 90740-5840
(562) 596-7952
(562) 598-5359
Mailing address
PO BOX 447, SEAL BEACH, CA 90740-0447
(562) 596-7952
(562) 598-5359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS10501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS10501
BBSE
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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