Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Justin Miyamoto, MD

Individual provider Pediatrics Physician · NPI 1912272105

Mr. Justin Miyamoto, MD is a Pediatrics Physician in Los Angeles, California. Licensed in California and Washington. Registered with an NPI since 2012.

Licensed in
CA, WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6041 Cadillac Ave
Los Angeles, CA 90034-1702
Phone: (323) 857-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A136811 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence ML60292840 (WA)

Record details

NPI number1912272105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2012
Last updated in NPPESDecember 6, 2021

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