Individual
DR. DWIGHT HISAYUKI MUKUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
G40177
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G40177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G401770
MEDI-CAL
CA
01
—
P00176690
RAILROAD MEDICARE
—
Enumeration date
06/19/2006
Last updated
08/21/2007
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