Mitsuoka Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

A38882 Issued in CA

Legal business name

MITSUOKA MEDICAL CORPORATION

Doing business as

Japan Int'l Medical Clinic

Practice address

200 S San Pedro St
#302
Los Angeles, CA 90012-3809

Phone

(213) 680-7737

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Hiroshi Mitsuoka, M.D.

Title

Medical Director

Phone

(213) 680-2195

Specialties & licenses 1

Addresses

Other names 1

• Japan Int'l Medical Clinic Doing business as

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

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1124292008
  NPD tax ID

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1821207424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S SAN PEDRO ST",
            "address_2": "#302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123809",
            "telephone_number": "213-680-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SAN PEDRO ST",
            "address_2": "#302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900123809",
            "telephone_number": "213-680-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITSUOKA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "MITSUOKA",
        "authorized_official_first_name": "HIROSHI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "213-680-2195",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A38882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Japan Int'l Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Connor Anthony Mitrovich, DO
• Brad Thomas Mitsdarffer, CRNA
• Fotini Tania Mitsinikos, MD
• Lola Mitsuk, M.S.W.
• Mitsuoka Medical Corporation
• Ronald Takeshi Mitsuyasu, MD
• Anuva Mittal
• Rasham Mittal, M.D.
• Steven David Mittelman, MD
• Gregory Mitton, MD

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.