Individual
GREGORY YAMAGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
250 N ROBERTSON BLVD STE 102, BEVERLY HILLS, CA 90211-1767
(310) 385-3450
Mailing address
4131 EAST BLVD, LOS ANGELES, CA 90066-4609
(310) 749-1217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT-002373
AZ
152W00000X
Optometrist
Primary
OPT34640
CA
Other
Enumeration date
03/31/2019
Last updated
12/08/2021
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