Individual
MASATO NAGAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D PH D
Contact information
Practice address
1001 POTRERO AVENUE, RM 3A36, SAN FRANCISCO, CA 94110-3518
(415) 206-8811
(415) 647-3733
Mailing address
PO BOX 7464, SAN FRANCISCO, CA 94120-7464
(415) 206-3103
(415) 206-3872
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A91764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A917640
—
CA
Enumeration date
05/23/2006
Last updated
01/10/2012
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