Tanaka, Scott Kiyoshi

Tanaka, Scott Kiyoshi is an individual health care provider with primary practice located at 4060 4Th Ave. Suite 700, San Diego CA 92103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Tanaka, Scott Kiyoshi can be contacted via phone (619) 299-8500.

Contact Information

Primary practice address
4060 4Th Ave. Suite 700 San Diego CA 92103
Phone: (619) 299-8500
Fax: (619) 299-3370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 002983 California
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A129847 California
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X A129847 California

Profile Details

NPI number 1881843050
LBN Legal business name Tanaka, Scott Kiyoshi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2008
Last updated Sep 20th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881843050 NPPES
California Other A129847 CA LICENSE

Popular Providers