Organization
MITCHELL M NISHIMOTO MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL NISHIMOTO (PRESIDENT)
(818) 785-3889
Entity
Organization
Contact information
Practice address
15243 VANOWEN ST STE 408, VAN NUYS, CA 91405-3658
(818) 785-3889
(818) 782-1227
Mailing address
15243 VANOWEN ST STE 406, VAN NUYS, CA 91405-3655
(818) 785-3889
(818) 782-1227
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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