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Organization
KENNETH S YAMAMOTO MD A MEDICAL CORP
Active
Organization
KENNETH S YAMAMOTO MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH SUSUMU YAMAMOTO MD (MD/OWNER)
(415) 337-2121
Entity
Organization
Contact information
Practice address
1800 SULLIVAN AVE, SUITE 803, DALY CITY, CA 94015-2225
(415) 337-2121
(415) 337-1247
Mailing address
1800 SULLIVAN AVE, SUITE 803, DALY CITY, CA 94015-2225
(415) 337-2121
(415) 337-1247
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G313400
—
207RH0003X
Hematology & Oncology Physician
Primary
G31340
CA
207RH0003X
Hematology & Oncology Physician
G313400
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G313400
—
CA
Enumeration date
03/15/2007
Last updated
07/21/2022
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