# MARK S. ISHIMARU, M.D., INC

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

## Provider details

- **NPI number:** 1487770665
- **Authorized official:** DR. MARK S ISHIMARU M.D. (PRESIDENT)
- **Authorized official phone:** (949) 364-2154

## Contact information

- **Practice address:** 26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
- **Practice address phone:** (949) 364-2154
- **Practice address fax:** (949) 364-2100
- **Mailing address:** 26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
- **Mailing address phone:** (949) 364-2154
- **Mailing address fax:** (949) 364-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G27381 | CA | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020