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Individual

DR. YUICHI ISHIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 HOAG DR BLDG 31, NEWPORT BEACH, CA 92663-4162
(949) 764-8258
(949) 764-1493
Mailing address
1 HOAG DR BLDG 31, NEWPORT BEACH, CA 92663-4162
(949) 764-8258
(949) 764-1493

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD-46280
IA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A138253
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD-46280
IA
390200000X
Student in an Organized Health Care Education/Training Program
BP10044691
TX

Other

Enumeration date
07/25/2012
Last updated
07/28/2025
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