Jean T Miyashita MD
NPI #1124213988 in Tarzana, California
Provider Information
- NPI Number
- 1124213988
- Entity Type
- Organization
- Organization Name
- Jean T Miyashita MD
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 13, 2007
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 18411 CLARK ST STE 103
- City
- Tarzana
- State
- California
- ZIP Code
- 91356-3527
- Phone
- (818) 343-1700
Authorized Official
- Name
- JEAN MIYASHITA, MD
- Title
- OWNER
- Phone
- (818) 343-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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