Shimizu, Kenneth T
Shimizu, Kenneth T is an individual health care provider with primary practice located at 10670 John J Hopkins Dr , San Diego CA 92121-1120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Shimizu, Kenneth T can be contacted via phone (858) 554-4100.Contact Information
Primary practice address
10670 John J Hopkins Dr
San Diego CA 92121-1120
Phone: (858) 554-4100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | G67647 | California |
Profile Details
| NPI number | 1326032129 |
|---|---|
| LBN Legal business name | Shimizu, Kenneth T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326032129 | NPPES |
| California | MEDICAID | 00G67647O |
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