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Individual

DR. LAUREN SHIN HIYAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526
Mailing address
7471 N FRESNO ST, FRESNO, CA 93720-2457
(559) 436-4500
(559) 261-1526

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A84500
CA
207R00000X
Internal Medicine Physician
A84500
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
A84500
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0043790
CA
01
ZZZ21572Z
MEDICARE PTAN FOR ALL OFFICE LOCATIONS UNDER BAZ ALLERGY, ASTHMA & SINUS CENTER
CA
Enumeration date
10/11/2006
Last updated
06/23/2015
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