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Individual

NANCY TOMOMI HAYATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
7098 EDINGER AVE, BEACH CITIES PODIATRY GROUP INC, HUNTINGTON BEACH, CA 92647
(714) 848-3663
(714) 848-0565
Mailing address
7098 EDINGER AVE, BEACH CITIES PODIATRY GROUP INC, HUNTINGTON BEACH, CA 92647
(714) 848-3663
(714) 848-0565

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4086
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OOOE40860
CA
Enumeration date
12/28/2005
Last updated
11/14/2012
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