Shimabukuro, Kozue

Shimabukuro, Kozue is an sole proprietor health care provider with primary practice located at 11175 Campus St Cp A1117, Loma Linda CA 92350-1700. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Shimabukuro, Kozue can be contacted via phone (909) 558-4250.

Contact Information

Primary practice address
11175 Campus St Cp A1117 Loma Linda CA 92350-1700
Phone: (909) 558-4250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A101076 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A101076 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X M-1938 Guam
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-1938 Guam

Profile Details

NPI number 1134334600
LBN Legal business name Shimabukuro, Kozue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Feb 11th, 2022 - about 4 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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