Yamanaka, Jeanine

Yamanaka, Jeanine is an individual health care provider with primary practice located at 850 S. Atlantic Blvd. 301, Monterey Park CA 91754-4769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Yamanaka, Jeanine can be contacted via phone (626) 289-7699.

Contact Information

Primary practice address
850 S. Atlantic Blvd. 301 Monterey Park CA 91754-4769
Phone: (626) 289-7699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A68698 California

Profile Details

NPI number 1972707677
LBN Legal business name Yamanaka, Jeanine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Mar 1st, 2012 - about 12 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 1972707677 NPPES
California MEDICAID GR0079700
California MEDICAID 00A686980

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