Provider Demographics
NPI:1275677585
Name:ISHITANI, ESTHER RO (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:RO
Last Name:ISHITANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1249 S DIAMOND BAR BLVD # 213
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-4122
Mailing Address - Country:US
Mailing Address - Phone:323-810-2604
Mailing Address - Fax:626-227-7015
Practice Address - Street 1:3208 ROSEMEAD BLVD FL 2
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2830
Practice Address - Country:US
Practice Address - Phone:626-227-7014
Practice Address - Fax:626-227-7015
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA743302084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry