Individual
KENTARO EMIL YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4094 FOURTH AVE, STE 203, SAN DIEGO, CA 92103-2143
(619) 299-1100
(619) 299-7156
Mailing address
1040 UNIVERSITY AVE STE B209A, SAN DIEGO, CA 92103-7328
(619) 299-1100
(619) 299-7156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A95387
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A953870
—
CA
Enumeration date
03/16/2006
Last updated
03/10/2022
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