Individual
SHOHEI IKOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2011 ZONAL AVE STE 200, LOS ANGELES, CA 90089-1015
(323) 442-2582
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-2582
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
A153184
CA
Other
Enumeration date
03/24/2014
Last updated
11/27/2023
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