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Individual
DR. YUSAKU MICHAEL SHINO
Active
Individual
DR. YUSAKU MICHAEL SHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A102464
CA
207RP1001X
Pulmonary Disease Physician
A102464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619114873
CCS PANELED PROVIDER
CA
05
—
1619114873
—
CA
Enumeration date
01/09/2009
Last updated
01/09/2013
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