Individual
DR. MIGUEL KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11234 ANDERSON ST, SUITE 2592, LOMA LINDA, CA 92354-2804
(772) 618-9714
(772) 618-9714
Mailing address
PO BOX 235, LOMA LINDA, CA 92354-0235
(772) 618-9714
(772) 618-9714
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
20A8996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX89960
—
CA
Enumeration date
09/02/2006
Last updated
11/18/2021
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