Individual
AKIRA ISHIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-0001
(310) 206-6688
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 206-6688
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
G74490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G744900
—
CA
Enumeration date
07/14/2006
Last updated
08/31/2010
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