Individual
STANLEY KAZUO NAKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G43264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G432640
BLUE SHIELD OF CA
—
05
—
00G432640
—
CA
01
—
00G432640 159
CALOPTIMA
—
01
—
053304CA49292
TRAILBLAZER
—
01
—
300035984
RAILROAD MEDICARE
—
Enumeration date
07/18/2005
Last updated
08/15/2008
Update your record
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