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Individual

KEITH S MIYAMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15725 E WHITTIER BLVD, WHITTIER, CA 90603-2347
(562) 947-8478
(562) 947-2238
Mailing address
PO BOX 1277, WHITTIER, CA 90609-1277
(562) 906-6470
(562) 946-9465

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G56322
CA

Other

Enumeration date
10/11/2006
Last updated
03/13/2008
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