Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | G055628 | CA |
NPI | 1043368277 |
---|---|
Provider Name | Don J Nishiguchi |
First Address | Valencia, CA 91355-6061 |
Second Address | Valencia, CA 91355-6061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 26/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E02777 | (02) |