Tachibana, Mikio
Tachibana, Mikio is an individual health care provider with primary practice located at 11100 Warner Ave Suite 154, Fountain Valley CA 92708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tachibana, Mikio can be contacted via phone (714) 966-2800.Contact Information
Primary practice address
11100 Warner Ave Suite 154
Fountain Valley CA 92708
Phone: (714) 966-2800
Fax: (714) 966-0421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A35433 | California |
Profile Details
| NPI number | 1598721227 |
|---|---|
| LBN Legal business name | Tachibana, Mikio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598721227 | NPPES |
| California | Other | 00A354330 | BCBS OF CA |
| California | MEDICAID | 00A354330 | BCBS OF CA |
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