Physician Compare National (NPI:1902896525)

HEALTHCARE PROVIDER: YOSHINOBU MIFUNE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902896525
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830298181
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120508000459
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MIFUNE
	Individual professional last name
Provider First Name	YOSHINOBU
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	28078 BAXTER RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 410
	Group Practice or individual's line 2 address
City	MURRIETA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	925631404
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050770
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050327
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LOMA LINDA UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y