Provider Demographics
NPI:1235304239
Name:NAKAI, DAVID SEI (RPT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:SEI
Last Name:NAKAI
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39372 SAN THOMAS CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4537
Mailing Address - Country:US
Mailing Address - Phone:951-265-1900
Mailing Address - Fax:951-600-7505
Practice Address - Street 1:115 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:LAKE ELSINORE
Practice Address - State:CA
Practice Address - Zip Code:92530-4001
Practice Address - Country:US
Practice Address - Phone:951-265-1900
Practice Address - Fax:951-600-7505
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist