| Gary S Mizono, MD | |
|
99 Montecillo Rd, San Rafael, CA 94903-3308 | |
| (415) 444-2000 | |
| Not Available |
| Full Name | Gary S Mizono |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 99 Montecillo Rd, San Rafael, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174607147 | NPI | - | NPPES |
| 00G422220 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | G42222 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary S Mizono, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Gary S Mizono, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 444-2000 |
J. Brian Delfanti, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Dr. Peter Michael Vila, MD, MSPH Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 899 Northgate Dr Ste 110, San Rafael, CA 94903 Phone: 415-684-8452 | |
Thomas L. Guerry, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 | |
Jeffrey S. Chien, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000 |