Organization
BRYAN T IMAYANAGITA DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN TADAO IMAYANAGITA DO (PRESIDENT)
(562) 236-5483
Entity
Organization
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 236-5483
(714) 276-2148
Mailing address
631 S BROOKHURST ST STE 216, ANAHEIM, CA 92804-3558
(714) 683-2970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/29/2022
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