Jean T Miyashita Md | |
18411 Clark St Ste 103 Tarzana CA 91356-3527 | |
(818) 343-1700 | |
(818) 343-1738 |
Full Name | Jean T Miyashita Md |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 18411 Clark St Ste 103, Tarzana, California |
Authorized Official Name and Position | Jean Miyashita (OWNER) |
Authorized Official Contact | 8183431700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jean T Miyashita Md 18411 Clark St Ste 103 Tarzana CA 91356-3527 Ph: (818) 343-1700 | Jean T Miyashita Md 18411 Clark St Ste 103 Tarzana CA 91356-3527 Ph: (818) 343-1700 |
NPI Number | 1124213988 |
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Provider Enumeration Date | 09/13/2007 |
Last Update Date | 06/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124213988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G79761 (California) | Primary |
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