Mitsuoka Medical Corporation
Family Medicine in Los Angeles, CA. Organization (NPI-2).
NPI number1124292008
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1124292008
- Entity type
- Organization (NPI-2)
- Legal business name
- Mitsuoka Medical Corporation
- Organization subpart
- No
- Enumeration date
- Apr 22, 2008
- Last updated
- Apr 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Japan Internationla Medical Clinic (Former Legal Business Name)
Practice location
200 S San Pedro St#303
Los Angeles, CA 90012-5302
Phone 213-680-7736
Mailing address
200 S San Pedro St#303
Los Angeles, CA 90012-5302
Phone 213-680-7736
Authorized official
Hiroshi Mitsuoka
President
2136802194
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