Individual
DR. RALPH MASAYUKI SHISHIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
591 CAMINO DE LA REINA, SUITE 200, SAN DIEGO, CA 92108-3102
(619) 325-8748
(619) 325-8732
Mailing address
591 CAMINO DE LA REINA, SUITE 200, SAN DIEGO, CA 92108-3102
(619) 325-8748
(619) 325-8732
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G07259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G072590
—
CA
Enumeration date
08/01/2006
Last updated
07/08/2007
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