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Individual

DR. KOZUE SHIMABUKURO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11175 CAMPUS ST, CP A1117, LOMA LINDA, CA 92350-1700
(909) 558-4250
Mailing address
11175 CAMPUS ST, CP A1117, LOMA LINDA, CA 92350-1700
(909) 558-4250

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A101076
CA
208000000X
Pediatrics Physician
M-1938
GU
2080P0203X
Pediatric Critical Care Medicine Physician
A101076
CA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
M-1938
GU

Other

Enumeration date
05/10/2007
Last updated
02/11/2022
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