Organization
PIH HEALTH PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH S. MIYAMOTO M.D. (PRESIDENT)
(562) 789-5401
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD STE 570&580, LOS ANGELES, CA 90017-4810
(213) 977-0419
(213) 977-0225
Mailing address
PO BOX 1277, WHITTIER, CA 90609-1277
(562) 789-5401
(562) 789-4108
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
03/25/2021
Last updated
06/13/2023
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