Individual
MR. ROY SHOGO HAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4245
Mailing address
916 E MERCED AVE, WEST COVINA, CA 91790-5225
(626) 918-2343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10238
CA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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