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Next Update: Wednesday, May 15, 2024 2:50 AM CDT
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KISHIMOTO, WAYNE MINORU
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| Practice Address: |
609 DEEP VALLEY DRIVE
SUITE 200
ROLLING HILLS CA 90274
Address last updated on 7/2/2019 |
| Phone #: |
(310) 706-4440 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
27366 |
| Dated: |
9/22/2009 |
| Expires: |
1/30/2021 |
|
Temp.
Lic.
Issued:
|
9/4/2009 |
|
Temp.
Lic.
Expires:
|
11/20/2009 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology
Diagnostic Radiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Keck Sch of Med of the USC, LOS ANGELES CA 90089 |
| Graduated: |
5 /
2001 |
| CME Year: |
2021 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
OU Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
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