Mitsuoka Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MITSUOKA MEDICAL CORPORATION

Practice address

200 S San Pedro St
#303
Los Angeles, CA 90012-5302

Phone

(213) 680-7736

NPI assigned

Apr 22, 2008

Last updated

Apr 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hiroshi Mitsuoka, M.D.

Title

President

Phone

(213) 680-2194

Specialties & licenses 1

Addresses

Other names 1

• Japan Internationla Medical Clinic Former legal business name

Tax ID family

Japan Int'L Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mitsuoka Medical Corporation

  dba Japan Int'l Medical Clinic

  • Specialist
  • Los Angeles, CA
  • NPI 1821207424
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1124292008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S SAN PEDRO ST",
            "address_2": "#303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125302",
            "telephone_number": "213-680-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SAN PEDRO ST",
            "address_2": "#303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900125302",
            "telephone_number": "213-680-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITSUOKA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MITSUOKA",
        "authorized_official_first_name": "HIROSHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-680-2194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Japan Internationla Medical Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lavinia Ruxandra Mitroi, MD, DRPH
• Connor Anthony Mitrovich, DO
• Brad Thomas Mitsdarffer, CRNA
• Fotini Tania Mitsinikos, MD
• Lola Mitsuk, M.S.W.
• Mitsuoka Medical Corporation (Japan Int'l Medical Clinic)
• Ronald Takeshi Mitsuyasu, MD
• Anuva Mittal
• Rasham Mittal, M.D.
• Steven David Mittelman, MD

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.