Individual
BRANDON MASUO IWATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 N MARKET ST, INGLEWOOD, CA 90301-1217
(310) 671-0441
Mailing address
1440 STAR RIDGE DR, MONTEREY PARK, CA 91754-4527
(626) 319-1472
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75583
CA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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