# PIH HEALTH PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bright Health Physicians of PIH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104149970
- **Authorized official:** DR. KEITH S. MIYAMOTO MD (PRESIDENT)
- **Authorized official phone:** (562) 789-5401

## Contact information

- **Practice address:** 12215 TELEGRAPH RD, SUITE 112, SANTA FE SPRINGS, CA 90670-3344
- **Practice address phone:** (562) 864-2518
- **Practice address fax:** (562) 777-7812
- **Mailing address:** P O BOX 1277, WHITTIER, CA 90609-1277
- **Mailing address phone:** (562) 789-5401
- **Mailing address fax:** (562) 789-5912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0774 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | 0774 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 02/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 122150112 | 0074-122150112 | CA |