Individual
DR. RONALD RYO YAMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1191 E YOSEMITE AVE, STE 203, MANTECA, CA 95336-5011
(916) 989-1887
(916) 989-1887
Mailing address
PO BOX 230, ORANGEVALE, CA 95662-0230
(916) 989-1887
(916) 989-1887
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G30653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11135588
CAQH
CA
Enumeration date
12/22/2005
Last updated
01/18/2011
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