RYAN TAKEO SHIMOKUBO CADC-II NPI 1407383169

NPI Information

NPI: 1407383169
Provider Name: RYAN TAKEO SHIMOKUBO, CADC-II
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5355 E CARSON ST
LONG BEACH, CA
ZIP 90808
Phone: (562) 379-4995
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Ryan Takeo Shimokubo, CADC-II is an addiction (substance use disorder) counselor in Long Beach, CA. Ryan Takeo Shimokubo, CADC-II NPI is 1407383169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5355 E CARSON ST
LONG BEACH, CA
ZIP 90808-805
Phone: (562) 379-4995

The enumeration date for this NPI number is 5/12/2017 and was last updated on 1/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	A052270321	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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