TYSON SHIGERU IKEDA

SAN DIEGO, CA
NPI1801970157
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G076582)
Enumeration Date2006-10-24
Last Update Date2020-10-08
Business Address
TYSON SHIGERU IKEDA M.D.
16950 VIA TAZON
SAN DIEGO, CA 92127
Phone number: 800-926-8273
Mailing Address
TYSON SHIGERU IKEDA M.D.
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: 800-926-8273
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