Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | G23249 | CA |
NPI | 1033182647 |
---|---|
Provider Name | Dan Sakamoto |
First Address | Torrance, CA 90505-4909 |
Second Address | Torrance, CA 90505-4909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 30/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A41892 | (02) | CA |