Individual
WADE Y NISHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 PARK TERRACE, 130, LOS ANGELES, CA 90045-4025
(310) 649-7222
Mailing address
6801 PARK TERRACE, 130, LOS ANGELES, CA 90045-4025
(310) 649-7222
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G56797
CA
Other
Enumeration date
06/28/2006
Last updated
12/13/2007
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