Individual
DR. EDWIN S. HAYASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 OAK PARK BLVD STE 201, PISMO BEACH, CA 93449-3400
(805) 546-0411
(805) 473-4891
Mailing address
77 CASA ST, SUITE 103, SAN LUIS OBISPO, CA 93405-5803
(805) 546-0411
(805) 489-1421
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G74276
CA
2086S0129X
Vascular Surgery Physician
G74276
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G742760
—
CA
Enumeration date
04/04/2006
Last updated
02/09/2023
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