Individual
DR. GRANT ROGER MASAOKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1781 W ROMNEYA DR, SUITE E, ANAHEIM, CA 92801-1818
(714) 774-0414
(714) 774-0494
Mailing address
1781 W ROMNEYA DR, SUITE E, ANAHEIM, CA 92801-1818
(714) 774-0414
(714) 774-0494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G19094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G190940
—
CA
Enumeration date
08/30/2005
Last updated
07/09/2007
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