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NPI Code Detail

MEDICARE: DR. YASUKO MARGIE FURUMOTO M.D.

MEDICARE: DR. YASUKO MARGIE FURUMOTO 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
1207N00000XDermatology PhysicianG16173CA

General Provider Information

NPI Number : 1326265315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YASUKO MARGIE FURUMOTO M.D.
Provider Business Mailing Address
First Line : 849 W 34TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-0311
Country : US
Telephone Number : 213-740-9355
Fax Number : 213-740-4322
Provider Business Practice Location Address
First Line : 849 W 34TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90089-0311
Country : US
Telephone Number : 213-740-9355
Fax Number : 213-740-4322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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