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General NPI Number Information
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NPI Number | 1598830085
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Entity Type | Organization
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Legal Business Name | TOMMY H. TOMIZAWA, MD, INC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8635 W 3RD ST #880W
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City | LOS ANGELES
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State | CA
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Zip | 90048-6101
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Country | US
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Telephone | 310-657-9356
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Fax | 310-657-9379
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Provider Business Mailing Address
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Address Line | PO BOX 7224
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-7224
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Country | US
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Telephone | 310-657-9356
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Fax | 310-657-9379
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Authorized Official
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Title or Position | PRESIDENT
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Name | TOMMY H. TOMIZAWA
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Credential | M.D.
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Telephone | 310-657-9356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A64986
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License Number State | CA
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