Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A95898 | CA |
Y | 208600000X | Surgeon | A95898 | CA |
N | 2086X0206X | Surgical Oncologist | ME110286 | FL |
NPI | 1336328194 |
---|---|
Provider Name | Dr. Maki Yamamoto |
First Address | Orange, CA 92868-2903 |
Second Address | Orange, CA 92868-2903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/10/2007 |
Last Update Date | 17/11/2014 |