Yamada, Kentaro Emil

Yamada, Kentaro Emil is an individual health care provider with primary practice located at 4094 Fourth Ave Ste 203, San Diego CA 92103-2143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Yamada, Kentaro Emil can be contacted via phone (619) 299-1100.

Contact Information

Primary practice address
4094 Fourth Ave Ste 203 San Diego CA 92103-2143
Phone: (619) 299-1100
Fax: (619) 299-7156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A95387 California

Profile Details

NPI number 1629047188
LBN Legal business name Yamada, Kentaro Emil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 10th, 2022 - about 3 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 1629047188 NPPES
California MEDICAID 00A953870

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