Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koji Imazumi-Hegarty

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962344044

Koji Imazumi-Hegarty is a Student in an Organized Health Care Education/Training Program in Fremont, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

39155 Liberty St Ste E500
Fremont, CA 94538-1516
Phone: (510) 574-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (CA)

Record details

NPI number1962344044
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2026
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

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