Jeremy Nishimoto
Jeremy Nishimoto is a Rehabilitation Practitioner in Garden Grove, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
12141 Brookhurst St Ste 201Garden Grove, CA 92840-2865
Phone: (657) 261-7140
Fax: (714) 922-1032
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X (CA) |
|---|
Record details
| NPI number | 1740527274 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2013 |
| Last updated in NPPES | November 4, 2025 |
| Certification date | November 4, 2025 |
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