Miyamoto, Michael I
Miyamoto, Michael I is an individual health care provider with primary practice located at 26800 Crown Valley Pkwy Suite 120, Mission Viejo CA 92691-6384. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Miyamoto, Michael I can be contacted via phone (949) 364-3388.Contact Information
Primary practice address
26800 Crown Valley Pkwy Suite 120
Mission Viejo CA 92691-6384
Phone: (949) 364-3388
Fax: (949) 364-5026
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | G84521 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G84521 | California |
Profile Details
| NPI number | 1841277167 |
|---|---|
| LBN Legal business name | Miyamoto, Michael I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Oct 28th, 2020 - about 4 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 | 1841277167 | NPPES |
| California | MEDICAID | 00G845210 |
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