Individual
GARY S. YAMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4433 FLORIN RD, SUITE #890, SACRAMENTO, CA 95823-2527
(916) 393-5151
(916) 392-6130
Mailing address
4433 FLORIN RD, SUITE #890, SACRAMENTO, CA 95823-2527
(916) 393-5151
(916) 392-6130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05232T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0052320
—
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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