Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A67403 | CA |
Y | 111NI0900X | Internist | A67403 | CA |
N | 207SG0201X | Clinical Genetics (M.D.) | A67403 | CA |
NPI | 1538256979 |
---|---|
Provider Name | Shoji Yano |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 08/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G94226 | (02) | CA |