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Ronald Takeshi Mitsuyasu, MD
Hematology & Oncology Physician in Los Angeles, California
NPI 1376562215

Ronald Takeshi Mitsuyasu is a Hematology & Oncology Physician based in Los Angeles, CA and is specialized in Hematology & Oncology. Ronald Takeshi Mitsuyasu practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Ronald Takeshi Mitsuyasu is 1376562215 and holds a License No. G44685 (California).

The current practice location address for Ronald Takeshi Mitsuyasu is 200 Medical Plaza, Los Angeles, CA and can be reached out via phone at 310-794-9718 and via fax at 310-557-1899.

Location: 200 Medical Plaza, Los Angeles, CA, 90045-5632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376562215
Provider Name
Ronald Takeshi Mitsuyasu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Medical Plaza, Los Angeles, CA, 90045-5632
Phone Number
310-794-9718
Fax Number
310-557-1899
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G446850 05 CA
institution
Provider Business Practice Location Address Details
Address
200 Medical Plaza
City
Los Angeles
State
California
Zip
90095
Phone Number
310-794-9718
Fax Number
310-557-1899
person
Provider Business Mailing Address Details
Address
200 Medical Plaza
City
Los Angeles
State
California
Zip
90095
Phone Number
310-794-9718
Fax Number
310-557-1899
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
G44685 (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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