Healthcare Provider Details

I. General information

NPI: 1962843748
Provider Name (Legal Business Name): CHRISTOPHER HOSHINO MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 ATLANTIC AVE SUITE 480
LONG BEACH CA
90807-2218
US

IV. Provider business mailing address

4401 ATLANTIC AVE SUITE 480
LONG BEACH CA
90807-2218
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-5424
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER HOSHINO
Title or Position: OWNER
Credential: MD
Phone: 562-595-5424