| Midori Nishimura M D Ibclc Family Medicine And Lactation Inc | |
|
1704 Miramonte Ave Suite 3 Mountain View CA 94040-3766 | |
| (650) 996-1943 | |
| (408) 283-2563 |
| Full Name | Midori Nishimura M D Ibclc Family Medicine And Lactation Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1704 Miramonte Ave, Mountain View, California |
| Authorized Official Name and Position | Frank J Ponterio (CONSULTANT) |
| Authorized Official Contact | 6503416240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midori Nishimura M D Ibclc Family Medicine And Lactation Inc 1704 Miramonte Ave Suite 3 Mountain View CA 94040-3766 Ph: (650) 996-1943 | Midori Nishimura M D Ibclc Family Medicine And Lactation Inc 1704 Miramonte Ave Suite 3 Mountain View CA 94040-3766 Ph: (650) 996-1943 |
| NPI Number | 1528273570 |
|---|---|
| Provider Enumeration Date | 05/12/2007 |
| Last Update Date | 07/25/2007 |
| Medicare PECOS PAC ID | 8628169109 |
|---|---|
| Medicare Enrollment ID | O20070813000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528273570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A61183 (California) | Primary |
| Provider Name | Midori Nishimura |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861534711 PECOS PAC ID: 3375634850 Enrollment ID: I20070813000640 |
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