Provider Demographics
NPI:1043368277
Name:NISHIGUCHI, DON J (MD)
Entity Type:Individual
Prefix:
First Name:DON
Middle Name:J
Last Name:NISHIGUCHI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:27871 SMYTH DR
Mailing Address - Street 2:102
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-6061
Mailing Address - Country:US
Mailing Address - Phone:661-259-1781
Mailing Address - Fax:661-259-4571
Practice Address - Street 1:27871 SMYTH DR
Practice Address - Street 2:102
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-6061
Practice Address - Country:US
Practice Address - Phone:661-259-1781
Practice Address - Fax:661-259-4571
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-10-26
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Provider Licenses
StateLicense IDTaxonomies
CAG055628207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG55628BMedicare PIN
E02777Medicare UPIN