Individual
DR. MARK SHIGERU ISHIMARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26730 CROWN VALLEY PARKWAY, SUITE 200, MISSION VIEJO, CA 92691-8001
(949) 364-2154
(949) 364-2110
Mailing address
26730 CROWN VALLEY PARKWAY, SUITE 200, MISSION VIEJO, CA 92691-8001
(949) 364-2154
(949) 364-2110
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G27381
CA
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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