Nishikubo, Carol Yukiko

Nishikubo, Carol Yukiko is an individual health care provider with primary practice located at 2001 Santa Monica Blvd Ste 560W , Santa Monica CA 90404-2182. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Nishikubo, Carol Yukiko can be contacted via phone (310) 453-5654.

Contact Information

Primary practice address
2001 Santa Monica Blvd Ste 560W Santa Monica CA 90404-2182
Phone: (310) 453-5654
Fax: (310) 453-6885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G78746 California

Profile Details

NPI number 1023083888
LBN Legal business name Nishikubo, Carol Yukiko
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 23rd, 2024 - about 10 months 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 1023083888 NPPES
California MEDICAID G787460
California Other G78746
California MEDICAID GR0085740

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