Individual
TAKASHI KIYOIZUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17231 HOLLY LEAF CT, SAN DIEGO, CA 92127-2608
(858) 756-9828
Mailing address
17231 HOLLY LEAF CT, SAN DIEGO, CA 92127-2608
(858) 756-9828
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
53320
MA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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