Yawata, Eden Katsumasa

Yawata, Eden Katsumasa is an individual health care provider with primary practice located at 18785 Brookhurst St Suite 101, Fountain Valley CA 92708-7300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Yawata, Eden Katsumasa can be contacted via phone (714) 378-0042.

Contact Information

Primary practice address
18785 Brookhurst St Suite 101 Fountain Valley CA 92708-7300
Phone: (714) 378-0042
Fax: (714) 968-9129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7933 California

Profile Details

NPI number 1588643969
LBN Legal business name Yawata, Eden Katsumasa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Mar 30th, 2016 - about 9 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 1588643969 NPPES
California Other P00712395 MEDICARE RAILROAD
California MEDICAID 20XA7933 MEDICARE RAILROAD

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