Individual
DR. JON STEVEN YAMAGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S BERETANIA ST, SUITE 403, HONOLULU, HI 96813-2414
(808) 523-5033
(808) 528-4713
Mailing address
550 S BERETANIA ST, SUITE 403, HONOLULU, HI 96813-2414
(808) 523-5033
(808) 528-4713
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
042-0011342
VT
204F00000X
Transplant Surgery Physician
056250
GA
204F00000X
Transplant Surgery Physician
Primary
17065
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186165877B
WELFARE ID
GA
01
—
2549145
UNITED HEALTHCARE OF GA
GA
01
—
3985266
AETNA HMO
GA
01
—
582030692
CIGNA PPO
GA
01
—
6799024001
CIGNA HMO
GA
01
—
7553699
AETNA PPO
GA
01
—
930180
BLUE SHIELD
GA
01
—
Y 20050801
PRIVATEHEALTHCARE SYSTEMS
GA
Enumeration date
07/17/2006
Last updated
06/11/2013
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