Individual
DR. EDWARD KAZUHISA NOMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 S SAN VICENTE BLVD STE 800, LOS ANGELES, CA 90048-4174
(310) 423-9780
(310) 423-9780
Mailing address
8436 W 3RD ST STE 800, LOS ANGELES, CA 90048-4100
(310) 746-5918
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A102820
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/09/2007
Last updated
04/04/2018
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