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

Takashi Kiyoizumi, MD

Individual provider Plastic Surgery Physician · NPI 1750495651

Takashi Kiyoizumi, MD is a Plastic Surgery Physician in San Diego, California. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
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

17231 Holly Leaf Ct
San Diego, CA 92127-2608
Phone: (858) 756-9828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 53320 (MA)

Record details

NPI number1750495651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 8, 2007

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