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Individual
TREK MIKIO NOHEA MIZOGUCHI
Active
Individual
TREK MIKIO NOHEA MIZOGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A209658
CA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
A209658
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
08/12/2026
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