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Individual

RYOTARO NAKAMURA

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

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A78860
CA
207RH0003X
Hematology & Oncology Physician
A78660
CA

Other

Enumeration date
09/16/2006
Last updated
11/18/2020
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