Miyagishima, Brian M

Miyagishima, Brian M is an individual health care provider with primary practice located at 525 Plaza Dr Suite 204A, Santa Maria CA 93454-6953. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miyagishima, Brian M can be contacted via phone (805) 925-3030.

Contact Information

Primary practice address
525 Plaza Dr Suite 204A Santa Maria CA 93454-6953
Phone: (805) 925-3030
Fax: (805) 925-6453
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G69648 California

Profile Details

NPI number 1801870662
LBN Legal business name Miyagishima, Brian M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated May 9th, 2017 - about 7 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 1801870662 NPPES
Other 5781301 AETNA
Other CB219047 AETNA

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