Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 24796 | OK |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 24796 | OK |
NPI | 1326016114 |
---|---|
Provider Name | Mikio A Nihira |
First Address | Yorba Linda, CA 92887-1819 |
Second Address | Riverside, CA 92508-5077 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 10/04/2020 |