Yamamoto, Kenneth Susumu

Yamamoto, Kenneth Susumu is an individual health care provider with primary practice located at 1800 Sullivan Ave Suite 603, Daly City CA 94015-2225. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Yamamoto, Kenneth Susumu can be contacted via phone (415) 337-2121.

Contact Information

Primary practice address
1800 Sullivan Ave Suite 603 Daly City CA 94015-2225
Phone: (415) 337-2121
Fax: (415) 337-1247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G31340 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G313400 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G31340 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G313400 California

Profile Details

NPI number 1467545368
LBN Legal business name Yamamoto, Kenneth Susumu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 21st, 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 1467545368 NPPES
California MEDICAID 00G313400

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