Kento Imajo, - Physical Therapist in Oakland, CA

Kento Imajo, is a Physical Therapist based in Oakland, California. Kento Imajo is licensed to practice in California (license number 306912) and his current practice location is 3701 Broadway, Oakland, California. He can be reached at his office (for appointments etc.) via phone at (510) 752-6179.

NPI number for Kento Imajo is 1871320333 and his current mailing address is 3701 Broadway, Oakland, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871320333.

Contact Information

Kento Imajo,
3701 Broadway,
Oakland, CA 94611-5613
(510) 752-6179
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKento Imajo
GenderMale
SpecialityPhysical Therapist
Location3701 Broadway, Oakland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871320333
  • Provider Enumeration Date: 09/18/2024
  • Last Update Date: 09/18/2024

Medical Identifiers

Medical identifiers for Kento Imajo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871320333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 306912 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kento Imajo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kento Imajo,
3701 Broadway,
Oakland, CA 94611-5613

Ph: (510) 752-6179
Kento Imajo,
3701 Broadway,
Oakland, CA 94611-5613

Ph: (510) 752-6179

Reviews and Comments


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