Mizoguchi, Lianne T
Mizoguchi, Lianne T is an individual health care provider with primary practice located at 9415 Campus Point Dr , La Jolla CA 92037-1350. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mizoguchi, Lianne T can be contacted via phone (858) 534-6291.Contact Information
Primary practice address
9415 Campus Point Dr
La Jolla CA 92037-1350
Phone: (858) 534-6291
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT10104 | California |
Profile Details
| NPI number | 1619900313 |
|---|---|
| LBN Legal business name | Mizoguchi, Lianne T |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1619900313 | NPPES |
| California | MEDICAID | SD0101040 |
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