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Contact Information

MIGUEL KRISHNAN, DO
11234 ANDERSON ST
SUITE 2592
LOMA LINDA, CA92354-2804
 Phone: 772-618-9714
 Fax: 772-618-9714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MIGUEL KRISHNAN · (Male)

NPI # 1407958390
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/02/2006
Last updated 11/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A8996
  • CA Medicaid 00AX89960
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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