Individual
SUSAN SHIMOMAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3998 VISTA WAY STE 100, OCEANSIDE, CA 92056-4515
(760) 758-5340
(760) 758-5502
Mailing address
3998 VISTA WAY STE 100, OCEANSIDE, CA 92056-4515
(760) 758-5340
(760) 758-5502
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G49345
CA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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