Individual
DR. JEREMY KUNIYOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-2218
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A76172
CA
2085R0202X
Diagnostic Radiology Physician
MD14763
HI
2085R0204X
Vascular & Interventional Radiology Physician
A76172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000275628
HMSA
HI
01
—
00A0275626
HMSA
HI
01
—
03551147
UHA
HI
05
—
1124212667
—
HI
01
—
20124380
US DEPT OF LABOR
HI
01
—
MD14763
QUEENS HEALTHCARE
—
Enumeration date
08/28/2007
Last updated
12/15/2021
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