Organization
MARK S. ISHIMARU, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S ISHIMARU M.D. (PRESIDENT)
(949) 364-2154
Entity
Organization
Contact information
Practice address
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
(949) 364-2154
(949) 364-2100
Mailing address
26730 CROWN VALLEY PKWY, SUITE 200, MISSION VIEJO, CA 92691-6364
(949) 364-2154
(949) 364-2100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G27381
CA
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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