Doctor Name: | DR. KIGEN KEN NAGAMOTO |
NPI Number: | 1043325459 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., M.P.H. |
License Number: | G72474 |
Business Practice Address: | 5355 Orangethorpe Ave La Palma, CA - 906231002 |
Business Phone Number: | 7142284077 |
Business Fax Number: | |
Mailing Address: | 5355 Orangethorpe Ave, LA PALMA |
State: | CA |
Postal Code: | 906231002 |
Phone Number: | 5598018475 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 03/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2083P0500X |
License Number: | G72474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Preventive Medicine |
Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |