Search › California › 183500000X
Bryan Hataishi
NPI 1740653443 · on the registry since 2015 · sole proprietor
Practice
- Address
- 13171 Mindanao Way
Marina Del Rey, CA 90292 - Phone
- (310) 222-5665
- Organisation at this address
- Garfield Beach Cvs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California