Individual
LISA L. KINOSHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3200 KEARNEY ST, FREMONT, CA 94538-2299
(510) 498-2770
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A64670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A646700
—
CA
Enumeration date
11/01/2006
Last updated
06/03/2020
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