Doctor Name: | DEVIN NOGAKI |
NPI Number: | 1912148891 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C.S.P.C. |
License Number: | 912175985 |
Business Practice Address: | 4105 Ocean View Blvd Ste A Montrose, CA - 910201515 |
Business Phone Number: | 9172519842 |
Business Fax Number: | |
Mailing Address: | 828 N Kemp St, BURBANK |
State: | CA |
Postal Code: | 915052719 |
Phone Number: | 8182998013 |
Fax Number: | 8183022258 |
NPI Enumeration Date: | 03/23/2009 |
NPI Last Update Date: | 03/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 912175985 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |