| NPI Details | |
|---|---|
| NPI | 1013081124 |
| Gender | Male |
| Enumeration Date | 11/20/2006 |
| Last Updated | 12/11/2014 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1617 BROADWAY STREET VALLEJO CA, 94589, US |
|
| Phone | (707) 556-5555 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 460825 SAN FRANCISCO CA, 94146-0825, US |
|
| Phone | (415) 648-4922 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1041C0700X |
| License State | California |
| License Number | LCS 25134 |
| Remove 1013081124 NPI Number | |
According to our database, Yasutoshi Hirayama NPI is 1013081124, taxonomy code is 1041C0700X and license number is LCS 25134, license state is located at California. Yasutoshi Hirayama physically located at 1617 Broadway Street, Vallejo CA, 94589. NPI Number Yasutoshi Hirayama has the Individual type.
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1013081124 NPI number is provided on an as is basis without warranty of any kind. 1013081124 is maintained by the National Plan & Provider Enumeration System. The contents of Yasutoshi Hirayama are for informational purposes only.
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