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Individual
IZUMI YAMAMOTO
Active
Individual
IZUMI YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A99096
CA
207W00000X
Ophthalmology Physician
Primary
MD-15294
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A9909600
BLUE SHIELD
CA
Enumeration date
05/10/2007
Last updated
11/06/2010
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