Cisco, Michael Joshua

Cisco, Michael Joshua is an individual health care provider with primary practice located at 725 Welch Rd Packard Childrens Hospital At Stanford, Palo Alto CA 94304-1601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Cisco, Michael Joshua can be contacted via phone (650) 723-7913.

Contact Information

Primary practice address
725 Welch Rd Packard Childrens Hospital At Stanford Palo Alto CA 94304-1601
Phone: (650) 723-7913
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A87399 California

Profile Details

NPI number 1457486300
LBN Legal business name Cisco, Michael Joshua
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Mar 10th, 2015 - about 11 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 1457486300 NPPES
California MEDICAID 00A873990

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