| Organization Name: | GEORGE SHIMOMURA MD INC |
| NPI Number: | 1073733176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE SHIMOMURA (PRESIDENT) |
| Mailing Address: | 99-128 Aiea Heights Drive Suite 504 Aiea |
| State: | HI US |
| Postal Code: | 967013938 |
| Phone Number: | 8084872497 |
| Fax Number: | 8084872494 |
| NPI Enumeration Date: | 04/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MD1578 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |