Individual
DR. OSAMU UKIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1441 EASTLAKE AVE, NOR-7416, LOS ANGELES, CA 90089-0112
(323) 865-3750
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 865-3750
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
SFP000017
CA
Other
Enumeration date
05/06/2010
Last updated
11/11/2014
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