Individual
DR. AILEEN NAGAKO WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G52863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G528630
—
CA
Enumeration date
09/27/2005
Last updated
04/28/2011
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