MEDICARE: VICTOR TAMASHIRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	A46156	CA

General Provider Information

NPI Number	:	1952400715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR TAMASHIRO MD

Provider Business Mailing Address
First Line	:	4333 ADMIRALTY WAY UNIT 3
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-5469
Country	:	US
Telephone Number	:	818-515-6598
Fax Number	:

Provider Business Practice Location Address
First Line	:	4333 ADMIRALTY WAY UNIT 3
Second Line	:
City	:	MARINA DEL REY
State	:	CA
Zip	:	90292-5469
Country	:	US
Telephone Number	:	818-515-6598
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	10/24/2025

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