Provider Demographics
NPI:1649067463
Name:OKAMURA, BRITTANEE
Entity type:Individual
Prefix:
First Name:BRITTANEE
Middle Name:
Last Name:OKAMURA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 N NOB HILL DR
Mailing Address - Street 2:
Mailing Address - City:AZUSA
Mailing Address - State:CA
Mailing Address - Zip Code:91702-1522
Mailing Address - Country:US
Mailing Address - Phone:626-513-6228
Mailing Address - Fax:
Practice Address - Street 1:1535 N NOB HILL DR
Practice Address - Street 2:
Practice Address - City:AZUSA
Practice Address - State:CA
Practice Address - Zip Code:91702-1522
Practice Address - Country:US
Practice Address - Phone:626-513-6228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program