Organization
PIH HEALTH PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH S. MIYAMOTO MD (PRESIDENT)
(562) 789-5401
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD STE 205, LOS ANGELES, CA 90017-4812
(562) 967-2774
(562) 967-2769
Mailing address
PO BOX 1277, LOS ANGELES, CA 90001-0277
(562) 789-5401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
11/08/2021
Last updated
07/12/2023
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