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Individual

ALLEN KEN OSHITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3700 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1618
(415) 750-6025
Mailing address
P.O. BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
G39698
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G396980
CA
01
300130317
RAILROAD MEDICARE
CA
01
300130318
RAILROAD MEDICARE
CA
Enumeration date
06/07/2006
Last updated
11/08/2010
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