Provider Demographics
NPI:1306969225
Name:INAGAKI, NANCY EMIKO (OTR,CHT)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:EMIKO
Last Name:INAGAKI
Suffix:
Gender:F
Credentials:OTR,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 HAYVENHURST AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-3813
Mailing Address - Country:US
Mailing Address - Phone:818-785-9515
Mailing Address - Fax:818-785-9535
Practice Address - Street 1:22110 ROSCOE BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-3845
Practice Address - Country:US
Practice Address - Phone:818-347-7110
Practice Address - Fax:818-347-7211
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT512225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA954370043OtherCA TAX ID #
CAW14837AOtherMEDICARE GR PROVIDER #
CAWN250753AMedicare PIN