Organization
YAMA MED, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHARINE ANN KISHIYAMA MD (MD)
(703) 402-0447
Entity
Organization
Contact information
Practice address
1850 SULLIVAN AVE STE 300, DALY CITY, CA 94015-2204
(650) 992-4000
Mailing address
1850 SULLIVAN AVE STE 300, DALY CITY, CA 94015-2204
(650) 991-1122
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0102X
Surgical Critical Care Physician
—
—
Other
Enumeration date
03/15/2021
Last updated
09/27/2021
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