Takashi Kiyoizumi, MD - Plastic Surgery in San Diego, CA

Takashi Kiyoizumi, MD is a Plastic Surgery physician based in San Diego, California. Takashi Kiyoizumi is licensed to practice in Massachusetts (license number 53320) and his current practice location is 17231 Holly Leaf Ct, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (858) 756-9828.

NPI number for Takashi Kiyoizumi is 1750495651 and his current mailing address is 17231 Holly Leaf Ct, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750495651.

Contact Information

Takashi Kiyoizumi, MD
17231 Holly Leaf Ct,
San Diego, CA 92127-2608
(858) 756-9828
Not Available

Map and Direction




Physician's Profile

Full NameTakashi Kiyoizumi
GenderMale
SpecialityPlastic Surgery
Location17231 Holly Leaf Ct, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750495651
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Takashi Kiyoizumi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750495651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 53320 (Massachusetts)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. Takashi Kiyoizumi 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
Takashi Kiyoizumi, MD
17231 Holly Leaf Ct,
San Diego, CA 92127-2608

Ph: (858) 756-9828
Takashi Kiyoizumi, MD
17231 Holly Leaf Ct,
San Diego, CA 92127-2608

Ph: (858) 756-9828

Reviews and Comments


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