Mika Diane Nagamoto
Case Manager/Care Coordinator in Pacoima, CA. Individual provider (NPI-1).
NPI number1336728005
StatusActive
Last updated in NPPESJun 9, 2021
Details
- NPI
- 1336728005
- Entity type
- Individual (NPI-1)
- Name
- Mika Diane Nagamoto
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2021
- Certification date
- Jun 9, 2021
- Last updated
- Jun 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
12450 Van Nuys Blvd Ste 200Pacoima, CA 91331-1393
Phone 818-896-1161 · Fax 818-896-5069
Mailing address
12450 Van Nuys Blvd Ste 200Pacoima, CA 91331-1393
Phone 818-896-1161 · Fax 818-896-5069
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All 119 Case Manager/Care Coordinator providers in Pacoima · All 833 providers in Pacoima
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