Miya, Glenn Yukio

Miya, Glenn Yukio is an individual health care provider with primary practice located at 430 W Baseline Rd , Claremont CA 91711-1607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Miya, Glenn Yukio can be contacted via phone (909) 621-3916.

Contact Information

Primary practice address
430 W Baseline Rd Claremont CA 91711-1607
Phone: (909) 621-3916
Fax: (909) 625-0903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G70876 California

Profile Details

NPI number 1912967894
LBN Legal business name Miya, Glenn Yukio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 3rd, 2021 - about 5 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 1912967894 NPPES
California MEDICAID 00G708760

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