Individual
DR. DIANE MIYE KOSHIMUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
270 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-6370
(408) 972-6204
Mailing address
270 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-6370
(408) 972-6204
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4927
CA DPM LICENSE
CA
01
—
FV691Z
SO CA PTAN
CA
Enumeration date
09/02/2010
Last updated
12/21/2021
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