| Bryan T Imayanagita DO PC | |
|
2776 Pacific Ave Long Beach CA 90806-2613 | |
| (562) 236-5483 | |
| (714) 276-2148 |
| Full Name | Bryan T Imayanagita DO PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2776 Pacific Ave, Long Beach, California |
| Authorized Official Name and Position | Bryan Tadao Imayanagita (PRESIDENT) |
| Authorized Official Contact | 7146096703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan T Imayanagita DO PC 118 San Clemente Ln Placentia CA 92870-6214 Ph: (714) 683-2970 | Bryan T Imayanagita DO PC 2776 Pacific Ave Long Beach CA 90806-2613 Ph: (562) 236-5483 |
| NPI Number | 1427721760 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 10/12/2026 |
| Certification Date | 10/12/2026 |
| Medicare PECOS PAC ID | 4284032459 |
|---|---|
| Medicare Enrollment ID | O20211004000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427721760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Bryan Imayanagita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245721836 PECOS PAC ID: 6901226653 Enrollment ID: I20211004000559 |
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