Individual
CARL ALAN YAMAMOTO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5995 MISSION GORGE RD, SUITE B, SAN DIEGO, CA 92120-4028
(619) 584-8490
(619) 584-8101
Mailing address
5995 MISSION GORGE RD, SUITE B, SAN DIEGO, CA 92120-4028
(619) 584-8490
(619) 584-8101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0292700
BLUE SHIELD PROVIDER #
CA
Enumeration date
08/24/2005
Last updated
07/09/2007
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