Organization
ORANGE COUNTY GASTROENTEROLOGICAL MEDICAL GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH M YAMASHIRO MD (OWNER)
(714) 995-4704
Entity
Organization
Contact information
Practice address
3055 W ORANGE AVE STE 105, ANAHEIM, CA 92804-3152
(714) 995-4704
(714) 995-3814
Mailing address
3055 W ORANGE AVE STE 105, ANAHEIM, CA 92804-3152
(714) 995-4704
(714) 995-3814
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G13929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1843815
—
CA
Enumeration date
01/10/2007
Last updated
08/22/2020
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