Individual
SHIN MIYATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-3550
Mailing address
3701 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301091842
MI
2086S0120X
Pediatric Surgery Physician
Primary
A123051
CA
Other
Enumeration date
09/22/2008
Last updated
03/08/2017
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