Organization
GLENN S NAKAYAMA OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN SHIGERU NAKAYAMA OD (OWNER)
(626) 289-9171
Entity
Organization
Contact information
Practice address
100 E HUNTINGTON DR, SUITE 102, ALHAMBRA, CA 91801-1022
(626) 289-9171
(626) 289-1026
Mailing address
100 E HUNTINGTON DR, SUITE 102, ALHAMBRA, CA 91801-1022
(626) 289-9171
(626) 289-1026
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT6521
CA
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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