Iwahashi, Marc-Alan

Iwahashi, Marc-Alan is an individual health care provider with primary practice located at 20555 Prospect Rd Suite A, Cupertino CA 95014-5212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Iwahashi, Marc-Alan can be contacted via phone (408) 253-5811.

Contact Information

Primary practice address
20555 Prospect Rd Suite A Cupertino CA 95014-5212
Phone: (408) 253-5811
Fax: (408) 725-0583
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G68531 California

Profile Details

NPI number 1235123985
LBN Legal business name Iwahashi, Marc-Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jan 5th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235123985 NPPES
California MEDICAID 00G685310

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