Takashi Kiyoizumi, M.D.
Plastic Surgery in San Diego, CA. Individual provider (NPI-1).
NPI number1750495651
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1750495651
- Entity type
- Individual (NPI-1)
- Name
- Takashi Kiyoizumi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 53320 | MA | Yes |
Practice location
17231 Holly Leaf CtSan Diego, CA 92127-2608
Phone 858-756-9828
Mailing address
17231 Holly Leaf CtSan Diego, CA 92127-2608
Phone 858-756-9828
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