Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | G72346 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | G72346 | CA |
NPI | 1073944146 |
---|---|
Provider Name | Dr. Milton Sakamoto |
First Address | Walnut Creek, CA 94598-2581 |
Second Address | Walnut Creek, CA 94598-2581 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2013 |
Last Update Date | 27/11/2013 |