Individual
BRYCE KIYOSHI YAMAUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1300 W 155TH ST, #210, GARDENA, CA 90247-4061
(310) 767-1538
(310) 767-1165
Mailing address
1300 W 155TH ST, #210, GARDENA, CA 90247-4061
(310) 767-1538
(310) 767-1165
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3477
CA
213E00000X
Podiatrist
PO104
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E34772
—
CA
Enumeration date
08/17/2006
Last updated
02/24/2011
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