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Individual

IZUMI YAMAMOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1441 KAPIOLANI BLVD, SUITE 1503, HONOLULU, HI 96814
(808) 943-7000
(808) 943-7001
Mailing address
1441 KAPIOLANI BLVD, SUITE 1503, HONOLULU, HI 96814
(808) 943-7000
(808) 943-7001

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A99096
CA
207W00000X
Ophthalmology Physician
Primary
MD-15294
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0A9909600
BLUE SHIELD
CA
Enumeration date
05/10/2007
Last updated
11/06/2010
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