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
Fax: (661) 323-9326
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073716874 NPPES
California Other 00A301141 INDIVIDUAL PTAN
California Other 060012146 INDIVIDUAL PTAN
California Other 953511288 INDIVIDUAL PTAN

Popular Providers