Individual
DOUGLAS IWASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT-C
Contact information
Practice address
24331 EL TORO RD, LAGUNA WOODS, CA 92637-2752
(949) 586-3200
Mailing address
24331 EL TORO RD, LAGUNA WOODS, CA 92637-2752
(949) 586-3200
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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