Organization
HISAKO OHMOTO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HISAKO OHMOTO MD (CEO)
(925) 600-8220
Entity
Organization
Contact information
Practice address
4466 BLACK AVE STE A, PLEASANTON, CA 94566-6130
(925) 600-8220
(925) 600-8221
Mailing address
4466 BLACK AVE STE A, PLEASANTON, CA 94566-6130
(925) 600-8220
(925) 600-8221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A73077
CA
207RR0500X
Rheumatology Physician
Primary
A73077
CA
Other
Enumeration date
05/05/2007
Last updated
09/11/2025
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