# KENNETH ISHIZUE MD A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063610210
- **Authorized official:** KENNETH K ISHIZUE M.D. (PRESIDENT)
- **Authorized official phone:** (831) 755-4299

## Contact information

- **Practice address:** 1441 CONSTITUTION BLVD, SUITE 200 ORTHOPEDICS CLINIC, SALINAS, CA 93906-3100
- **Practice address phone:** (831) 755-4299
- **Mailing address:** 12705 CORTE CORDILLERA, SALINAS, CA 93908-8942
- **Mailing address phone:** (831) 755-4299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G56343 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 02/25/2008