Masatsugu, Miles Ken

Masatsugu, Miles Ken is an sole proprietor health care provider with primary practice located at 420 S Glendora Ave , West Covina CA 91790-3001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Masatsugu, Miles Ken can be contacted via phone (626) 919-4333.

Contact Information

Primary practice address
420 S Glendora Ave West Covina CA 91790-3001
Phone: (626) 919-4333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A070325 California

Profile Details

NPI number 1396892972
LBN Legal business name Masatsugu, Miles Ken
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Apr 1st, 2010 - about 16 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 1396892972 NPPES
California MEDICAID A070325

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