Individual
ALAN S NAKANISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1617 SAINT MARKS PLZ, SUITE D, STOCKTON, CA 95207-6423
(209) 478-1797
(209) 478-1224
Mailing address
1617 SAINT MARKS PLZ, SUITE D, STOCKTON, CA 95207-6423
(209) 478-1797
(209) 478-1224
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G012131
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G121310
—
CA
Enumeration date
08/25/2006
Last updated
06/03/2008
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