Individual
MR. DAVE M YAMAUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 408-3911
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
G45215
CA
2085R0203X
Therapeutic Radiology Physician
Primary
G45215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G452150
—
CA
Enumeration date
05/27/2006
Last updated
11/24/2020
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