MEDICARE: DR. SATIRO NAKAMURA DE OLIVEIRA M.D.

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	208000000X	Pediatrics Physician	A100262	CA
2	2080P0207X	Pediatric Hematology & Oncology Physician	A100262	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033360771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SATIRO NAKAMURA DE OLIVEIRA M.D.

Provider Business Mailing Address
First Line	:	8722 BURTON WAY
Second Line	:	102
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-3854
Country	:	US
Telephone Number	:	267-239-4271
Fax Number	:

Provider Business Practice Location Address
First Line	:	5767 W CENTURY BLVD
Second Line	:	SUITE 400
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:	310-825-9111
Fax Number	:

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

Provider Enumeration Date	:	09/30/2008
Last Update Date	:	09/08/2020

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