Individual
NAHO HATTORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11370 ANDERSON ST # B100, LOMA LINDA, CA 92354-3450
(909) 558-5929
Mailing address
11370 ANDERSON ST # B100, LOMA LINDA, CA 92354-3450
(770) 743-8291
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A172772
CA
2084N0400X
Neurology Physician
Primary
M-2372
GU
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
M-2372
GU
390200000X
Student in an Organized Health Care Education/Training Program
1407380603
FL
Other
Enumeration date
04/13/2017
Last updated
06/18/2024
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