Organization
SHAWN K. KAKU, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN KEIJI KAKU M.D. (PRESIDENT)
(310) 435-3063
Entity
Organization
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 537-1234
Mailing address
PO BOX 2098, SAN RAMON, CA 94583-7098
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
07/06/2016
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