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NPI Code Detail

MEDICARE: JOHN YAMASHITA M.D.

MEDICARE: JOHN YAMASHITA 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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianG75497CA

Other Identifiers

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

General Provider Information

NPI Number : 1558355024
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN YAMASHITA M.D.
Provider Business Mailing Address
First Line : 2219 W OLIVE AVE
Second Line : #219
City : BURBANK
State : CA
Zip : 91506-2625
Country : US
Telephone Number : 818-898-4412
Fax Number : 818-898-4419
Provider Business Practice Location Address
First Line : 15031 RINALDI ST
Second Line : DEPT OF PATHOLOGY
City : MISSION HILLS
State : CA
Zip : 91345-1207
Country : US
Telephone Number : 818-898-4412
Fax Number : 818-898-4419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 07/14/2017

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