Individual provider · Type 1 NPI

Jeremy Nishimoto

Rehabilitation Practitioner · Garden Grove, CA

NPI number 1740527274 Active

Practice location

12141 Brookhurst St Ste 201
Garden Grove, CA 92840-2865

Call (657) 261-7140 Map

Fax (714) 922-1032

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1740527274

Jeremy Nishimoto's National Provider Identifier is 1740527274, issued on Jan 3, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Garden Grove, CA. The record was last updated on Nov 4, 2025.