Individual
DR. CAMERON MASAO YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A89603
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A896030
BLUE SHIELD
CA
05
—
00A896030
—
CA
01
—
00A896030197
CAL OPTIMA
CA
01
—
1356390009
GROUP NPI
CA
01
—
990005307
RAILROAD MEDICARE
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GROO16910
GROUP MEDICAID PIN
CA
01
—
W11675
GROUP MEDICARE PIN
CA
Enumeration date
07/14/2006
Last updated
12/02/2021
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