Individual
MARIA ELENA AKIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407
(909) 537-5495
(909) 537-7002
Mailing address
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407-2318
(909) 537-5495
(909) 537-7002
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P70877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184170318
—
CA
Enumeration date
08/11/2016
Last updated
05/29/2018
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