Sugimoto, Brian Kenji

Sugimoto, Brian Kenji is an individual health care provider with primary practice located at 3393 G St Ste C , Merced CA 95340-1001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sugimoto, Brian Kenji can be contacted via phone (209) 580-4172.

Contact Information

Primary practice address
3393 G St Ste C Merced CA 95340-1001
Phone: (209) 580-4172
Fax: (209) 233-9859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X G80308 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G80308 California

Profile Details

NPI number 1700814902
LBN Legal business name Sugimoto, Brian Kenji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Dec 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700814902 NPPES
California MEDICAID 00G803080

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