# RONALD R. YAMADA, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164475109
- **Authorized official:** DR. RONALD R. YAMADA M.D. (OWNER)
- **Authorized official phone:** (209) 824-8111

## Contact information

- **Practice address:** 1234 E NORTH ST, SUITE 103, MANTECA, CA 95336-4960
- **Practice address phone:** (209) 824-8111
- **Practice address fax:** (209) 824-8200
- **Mailing address:** 1234 E NORTH ST, SUITE 103, MANTECA, CA 95336-4960
- **Mailing address phone:** (209) 824-8111
- **Mailing address fax:** (209) 824-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G30653 | CA | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020