Doctor Name: | DR. MASAYASU KIHIRA |
NPI Number: | 1851358071 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD PHD |
License Number: | A061938 |
Business Practice Address: | 40 N San Mateo Dr Nihon Bay Clinic San Mateo, CA - 944012824 |
Business Phone Number: | 6505580337 |
Business Fax Number: | 6505589364 |
Mailing Address: | 40 N San Mateo Dr, Nihon Bay Clinic SAN MATEO |
State: | CA |
Postal Code: | 944012824 |
Phone Number: | 6505580337 |
Fax Number: | 6505589364 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 06/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A061938 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |