person
Carol Yukiko Nishikubo, MD
Hematology & Oncology Physician in Santa Monica, California
NPI 1023083888

Carol Yukiko Nishikubo is a Hematology & Oncology Physician based in Santa Monica, CA and is specialized in Hematology & Oncology. Carol Yukiko Nishikubo practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Carol Yukiko Nishikubo is 1023083888 and holds a License No. G78746 (California).

The current practice location address for Carol Yukiko Nishikubo is 2001 Santa Monica Blvd Ste 560W, Santa Monica, CA and can be reached out via phone at 310-453-5654 and via fax at 310-453-6885.

Location: 2001 Santa Monica Blvd Ste 560W, Santa Monica, CA, 90404-2208
person
Provider Profile Details
NPI Number
1023083888
Provider Name
Carol Yukiko Nishikubo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2001 Santa Monica Blvd Ste 560W, Santa Monica, CA, 90404-2208
Phone Number
310-453-5654
Fax Number
310-453-6885
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G787460 05 CA
G78746 01 CA CALIFORNIA LICENSE
GR0085740 05 CA
institution
Provider Business Practice Location Address Details
Address
2001 Santa Monica Blvd Ste 560W
City
State
Zip
90404-2182
Phone Number
310-453-5654
Fax Number
310-453-6885
person
Provider Business Mailing Address Details
Address
2001 Santa Monica Blvd Ste 560W
City
State
Zip
90404-2182
Phone Number
310-453-5654
Fax Number
310-453-6885
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
G78746 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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