Tachibana, Mikio

Tachibana, Mikio is an individual health care provider with primary practice located at 11100 Warner Ave Suite 154, Fountain Valley CA 92708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tachibana, Mikio can be contacted via phone (714) 966-2800.

Contact Information

Primary practice address
11100 Warner Ave Suite 154 Fountain Valley CA 92708
Phone: (714) 966-2800
Fax: (714) 966-0421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A35433 California

Profile Details

NPI number 1598721227
LBN Legal business name Tachibana, Mikio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598721227 NPPES
California Other 00A354330 BCBS OF CA
California MEDICAID 00A354330 BCBS OF CA

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