Ishiyama, Mariko

Ishiyama, Mariko is an sole proprietor health care provider with primary practice located at 1441 Florida Ave , Modesto CA 95350-4404. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Ishiyama, Mariko can be contacted via phone (209) 576-3525.

Contact Information

Primary practice address
1441 Florida Ave Modesto CA 95350-4404
Phone: (209) 576-3525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A13309 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 12904 California

Profile Details

NPI number 1952662991
LBN Legal business name Ishiyama, Mariko
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2012
Last updated Aug 14th, 2024 - about 2 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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