Organization
OSHIRO PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW CHARLES OSHIRO MD (OWNER)
(702) 733-6033
Entity
Organization
Contact information
Practice address
4570 S EASTERN AVE, SUITE 21, LAS VEGAS, NV 89119-6183
(702) 733-6033
(702) 892-9567
Mailing address
PO BOX 71806, LAS VEGAS, NV 89170-1806
(702) 733-6033
(702) 892-9567
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7857
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC0722
BLUE SHIELD
NV
01
—
CC1232
BLUE SHIELD
NV
01
—
NV5068
BLUE SHIELD
NV
Enumeration date
03/04/2008
Last updated
03/04/2008
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