# YASUKO KIDOKORO MD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yasuko Kidokoro MD Inc APC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144595000
- **Authorized official:** YASUKO KIDOKORO MD (MD)
- **Authorized official phone:** (858) 277-9669

## Contact information

- **Practice address:** 4282 GENESEE AVE, SUITE 202, SAN DIEGO, CA 92117-4989
- **Practice address phone:** (858) 277-9669
- **Practice address fax:** (858) 277-9901
- **Mailing address:** 4282 GENESEE AVE, SUITE 202, SAN DIEGO, CA 92117-4989
- **Mailing address phone:** (858) 277-9669
- **Mailing address fax:** (858) 277-9901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A032727 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2012
- **Last updated:** 04/11/2019