# KENTARO E YAMADA M.D. INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1730287327
- **Authorized official:** DR. KENTARO E YAMADA M.D. (PRESIDENT)
- **Authorized official phone:** (619) 299-1100

## Contact information

- **Practice address:** 1040 UNIVERSITY AVE STE B209A, SAN DIEGO, CA 92103-7328
- **Practice address phone:** (619) 299-1100
- **Practice address fax:** (619) 299-7156
- **Mailing address:** 1040 UNIVERSITY AVE STE B209A, SAN DIEGO, CA 92103-7328
- **Mailing address phone:** (161) 929-9110
- **Mailing address fax:** (619) 299-7156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 03/10/2022