Individual
DR. WAYNE ICHIRO YAMAHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 SCRIPPS DR, SACRAMENTO, CA 95825-6320
(916) 929-1833
(916) 929-6730
Mailing address
95 SCRIPPS DR, SACRAMENTO, CA 95825-6320
(916) 929-1833
(916) 929-6730
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G40161
CA
Other
Enumeration date
11/21/2006
Last updated
12/16/2015
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