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Organization
LOU NISHIMURA MD INC
Active
Organization
LOU NISHIMURA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI JONES (ADMINISTRATOR)
(707) 255-8825
Entity
Organization
Contact information
Practice address
6500 COYLE AVE, SUITE 1, CARMICHAEL, CA 95608-0301
(916) 967-4030
Mailing address
3010 BEARD RD, NAPA, CA 94558-3442
(707) 255-8825
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G46283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G46283
MEDICAL LICENSE
CA
Enumeration date
12/01/2011
Last updated
12/03/2011
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