Ishii, Roy Tsutomu
Ishii, Roy Tsutomu is an individual health care provider with primary practice located at 1300 W Lodi Ave Suite P, Lodi CA 95242-3000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ishii, Roy Tsutomu can be contacted via phone (209) 369-7493.Contact Information
Primary practice address
1300 W Lodi Ave Suite P
Lodi CA 95242-3000
Phone: (209) 369-7493
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A23529 | California |
Profile Details
| NPI number | 1922064161 |
|---|---|
| LBN Legal business name | Ishii, Roy Tsutomu |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 16th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922064161 | NPPES |
| California | MEDICAID | 00A235290 |
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