Organization
BRYCE K. YAMAUCHI
Active
Other names
Gardena Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYCE KIYOSHI YAMAUCHI D.P.M. (OWNER)
(310) 767-1538
Entity
Organization
Contact information
Practice address
1300 W 155TH ST, SUITE 210, GARDENA, CA 90247-4048
(310) 767-1538
Mailing address
PO BOX 66596, SEATTLE, WA 98166-0596
(626) 960-5021
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3477
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E34772
—
CA
05
—
000E34773
—
CA
Enumeration date
06/07/2008
Last updated
09/27/2024
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