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Organization
PIH HEALTH PHYSICIANS
Active
Organization
PIH HEALTH PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH S MIYAMOTO MD (PRESIDENT)
(562) 789-5401
Entity
Organization
Contact information
Practice address
1400 S HARBOR BLVD, SUITE A, LA HABRA, CA 90631-7577
(714) 879-3400
(714) 441-1998
Mailing address
P O BOX 1277, WHITTIER, CA 90609-1277
(562) 789-5401
(562) 789-5912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25691
LICENSE #25691
CA
Enumeration date
02/17/2010
Last updated
02/26/2020
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