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Individual

MR. RONALD YONEO HAYASHIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
56970 YUCCA TRL, YUCCA VALLEY, CA 92284-3753
(760) 228-2020
(760) 369-2020
Mailing address
56970 YUCCA TRL, YUCCA VALLEY, CA 92284-3753
(760) 228-2020
(760) 369-2020

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT4574T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245517804
GROUP NPI
CA
01
FU077A
MEDICARE GROUP NUMBER
CA
01
GSD004460
MEDICAID GROUP NUMBER
CA
05
SD0045740
CA
Enumeration date
12/03/2005
Last updated
06/21/2012
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