Kumamoto, Kenneth Satoshi

Kumamoto, Kenneth Satoshi is an individual health care provider with primary practice located at 13855 E 14Th St , San Leandro CA 94578-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kumamoto, Kenneth Satoshi can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
13855 E 14Th St San Leandro CA 94578-2611
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A64958 California

Profile Details

NPI number 1760473482
LBN Legal business name Kumamoto, Kenneth Satoshi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Aug 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760473482 NPPES
California MEDICAID 00A649580
California Other 00A649580

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