Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A22393 | CA |
NPI | 1033249602 |
---|---|
Provider Name | Dr. Hisashi Kajikuri |
First Address | Monterey, CA 93940-3117 |
Second Address | Monterey, CA 93940-3117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 03/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A223930 | (05) | CA |
105797 | RHD (01) | CA |
4407523 | MEDICAL PIN (01) | CA |
A23050 | (02) | |
AK1403310 | DEA (01) | CA |