Individual
JUSTIN KEIJI YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2051 MARENGO ST # C4E100, LOS ANGELES, CA 90033-1352
(323) 409-7748
Mailing address
PO BOX 240069, HONOLULU, HI 96824-0069
(808) 847-5385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-21724
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/20/2017
Last updated
03/23/2021
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