Individual
DR. KENT TAKAO YAMAGUCHI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, 76-143 CHS, LOS ANGELES, CA 90095-6902
(310) 825-6557
Mailing address
10833 LE CONTE AVE, 76-143 CHS, LOS ANGELES, CA 90095-6902
(310) 825-6557
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A133598
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
04/18/2013
Last updated
02/11/2022
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