Ishimori, Tetsuo
Ishimori, Tetsuo is an individual health care provider with primary practice located at 2901 Sillect Ave Suite 100, Bakersfield CA 93308-6370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Ishimori, Tetsuo can be contacted via phone (661) 323-8384.Contact Information
Primary practice address
2901 Sillect Ave Suite 100
Bakersfield CA 93308-6370
Phone: (661) 323-8384
Fax: (661) 323-9326
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A30114 | California |
Profile Details
| NPI number | 1073716874 |
|---|---|
| LBN Legal business name | Ishimori, Tetsuo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2007 |
| Last updated | May 6th, 2009 - about 15 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 | 1073716874 | NPPES |
| California | Other | 00A301141 | INDIVIDUAL PTAN |
| California | Other | 060012146 | INDIVIDUAL PTAN |
| California | Other | 953511288 | INDIVIDUAL PTAN |
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