Organization Name: | YASUKO KIDOKORO, MD INC. APC |
NPI Number: | 1144595000 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YASUKO KIDOKORO (PRESIDENT) |
Mailing Address: | 4282 Genesee Ave Suite 202 San Diego |
State: | CA US |
Postal Code: | 921174989 |
Phone Number: | 8582779669 |
Fax Number: | 8582779901 |
NPI Enumeration Date: | 03/12/2012 |
NPI Last Update Date: | 03/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A032727 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |