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Contact Information

CHARLENE M NIIZAWA, MD
3553 WHIPPLE RD
UNION CITY, CA94587-1507
 Phone: 510-454-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CHARLENE M NIIZAWA · (Female)

NPI # 1558449314
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 12/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G77048
  • CA Medicaid 00G770480
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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