Individual
MARK MORISHIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
763 ALTOS OAKS DR STE 2, LOS ALTOS, CA 94024-5400
(408) 356-0444
(408) 358-5125
Mailing address
763 ALTOS OAKS DR STE 2, LOS ALTOS, CA 94024-5400
(408) 356-0444
(408) 358-5125
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
38793
IA
207X00000X
Orthopaedic Surgery Physician
64840
MN
207X00000X
Orthopaedic Surgery Physician
Primary
C171216
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
38793
IA
Other
Enumeration date
05/01/2007
Last updated
03/29/2023
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