Grant Roger Masaoka in Anaheim - Specialist

Grant Roger Masaoka - NPI 1780677120

Grant Roger Masaoka is a Specialist in Anaheim, California. Grant Roger Masaoka practices all healthcare services and medical treatments related to Specialist. The NPI Number for Grant Roger Masaoka is 1780677120. The last update date is 2007-07-09.

Grant Roger Masaoka's current location address is 1781 W Romneya Dr, Anaheim, California. You can contact this provider via phone number 7147740414 and fax number 7147740494. The mailing address for Grant Roger Masaoka is 1781 W Romneya Dr, Anaheim, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Grant Roger Masaoka
Address 1781 W Romneya Dr, Anaheim, California
Phone Number 7147740414
Fax Number 7147740494
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1780677120
Provider Enumeration Date 2005-08-30
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1781 W Romneya Dr
City Anaheim
State California (CA)
Post Code 928011818
Phone Number 7147740414
Fax Number 7147740494

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G19094
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G190940 CA --

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FAQs about Grant Roger Masaoka

What is the unique 10-digit identification code issued to Grant Roger Masaoka by the Centers for Medicare & Medicaid Services?

The Grant Roger Masaoka has been assigned the NPI (National Provider Identifier) 1780677120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Grant Roger Masaoka?

The Grant Roger Masaoka is physically situated at 1781 W Romneya Dr, in the city of Anaheim, state of CA, with the postal code 928011818.

What is Grant Roger Masaoka's specialized field of practice, and what is the corresponding taxonomy classification code?

The Grant Roger Masaoka's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did Grant Roger Masaoka receive its 1780677120 assignment from the Centers for Medicare & Medicaid Services?

The Grant Roger Masaoka was assigned its 1780677120 on 2005-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Grant Roger Masaoka, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Grant Roger Masaoka, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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