Provider Demographics
NPI:1013927425
Name:DANQUE, FLORA ISHIHARA (MD)
Entity Type:Individual
Prefix:DR
First Name:FLORA
Middle Name:ISHIHARA
Last Name:DANQUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 HOTEL CIR S STE 320
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3425
Mailing Address - Country:US
Mailing Address - Phone:858-449-7270
Mailing Address - Fax:469-242-9640
Practice Address - Street 1:1565 HOTEL CIR S STE 320
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3425
Practice Address - Country:US
Practice Address - Phone:858-449-7270
Practice Address - Fax:469-242-9640
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62874207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG18621Medicare UPIN