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Shishin Miyagi, MD
Student in an Organized Health Care Education/Training Program in Loma Linda, California
NPI 1912226713

Shishin Miyagi is a Student in an Organized Health Care Education/Training Program based in Loma Linda, CA. Shishin Miyagi practices in Loma Linda, CA and has the professional credentials of MD. The NPI Number for Shishin Miyagi is 1912226713 and holds a License No. (California).

The current practice location address for Shishin Miyagi is 11234 Anderson Street, Gme Office Cp 21005, Loma Linda, CA and can be reached out via phone at 909-963-2710.

Location: 11234 Anderson Street, Gme Office Cp 21005, Loma Linda, CA, 92354-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912226713
Provider Name
Shishin Miyagi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11234 Anderson Street, Gme Office Cp 21005, Loma Linda, CA, 92354-2804
Phone Number
909-963-2710
Fax Number
Provider Enumeration Date
05/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11234 Anderson Street, Gme Office Cp 21005
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-963-2710
Fax Number
person
Provider Business Mailing Address Details
Address
11234 Anderson Street, Gme Office Cp 21005
City
Loma Linda
State
California
Zip
92354-2804
Phone Number
909-963-2710
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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