Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DOUGLAS TOM IMURA

Active Sole Proprietor

Community Health Worker · SOUTH SAN FRANCISCO, CA

Registration Details

NPI Number: 1790213767
Provider Type: Individual
Gender: Male
NPI Issued: Jun 2, 2017 (8.8878551575097 yrs)
Last Updated: Jun 2, 2017
Sole Proprietor: Yes

Practice Information

Address: 505 CYPRESS AVE

SOUTH SAN FRANCISCO, CA, 940802922
Browse CA providers · Browse ZIP 94080
Phone: 6503806149
Fax: 6509525846
Primary Specialty: Community Health Worker
172V00000X

Other Community Health Worker Providers in SOUTH SAN FRANCISCO, CA

Name	Credential	NPI
MICHAEL RONALL DUNN	—	1346419819
MELISIA SHANKLIN	—	1811388168
CAMERON GEISLER	—	1740657394
NICHOLAS GARCIA	—	1497249502
KATRINA M ANDREY	—	1891278313
MELISSA LOI	—	1851859805

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.