Provider Demographics
NPI:1841379997
Name:ISHII, TOYOHISA THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:TOYOHISA
Middle Name:THOMAS
Last Name:ISHII
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27007 RED IRONBARK DR
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:CA
Mailing Address - Zip Code:92082-7259
Mailing Address - Country:US
Mailing Address - Phone:760-751-9143
Mailing Address - Fax:
Practice Address - Street 1:27007 RED IRONBARK DR
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:CA
Practice Address - Zip Code:92082-7259
Practice Address - Country:US
Practice Address - Phone:760-751-9143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG27949207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology