Individual
DR. CLYDE J IKEDA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1199 BUSH ST, STE 640, SAN FRANCISCO, CA 94109
(415) 775-1199
(415) 775-0360
Mailing address
1199 BUSH ST, STE 640, SAN FRANCISCO, CA 94109
(415) 775-1199
(415) 775-0360
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G49242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7759618
—
CA
Enumeration date
02/03/2006
Last updated
07/08/2007
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