Organization
PIH HEALTH PHYSICIANS
Active
Other names
Bright Health Physicians of PIH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH S. MIYAMOTO MD (PRESIDENT)
(562) 789-5401
Entity
Organization
Contact information
Practice address
12215 TELEGRAPH RD, SUITE 112, SANTA FE SPRINGS, CA 90670-3344
(562) 864-2518
(562) 777-7812
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
0774
CA
207X00000X
Orthopaedic Surgery Physician
Primary
0774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122150112
0074-122150112
CA
Enumeration date
03/09/2010
Last updated
02/04/2020
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