Individual
DR. KENNETH SUSUMU YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 SULLIVAN AVE, SUITE 603, DALY CITY, CA 94015-2225
(415) 337-2121
(415) 337-1247
Mailing address
1800 SULLIVAN AVE, SUITE 603, DALY CITY, CA 94015-2225
(415) 337-2121
(415) 337-1247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G31340
CA
207RH0003X
Hematology & Oncology Physician
G313400
CA
207RX0202X
Medical Oncology Physician
G31340
CA
207RX0202X
Medical Oncology Physician
Primary
G313400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G313400
—
CA
Enumeration date
10/02/2006
Last updated
07/21/2022
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