MEDICARE: DR. LORI UYENO 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	2086X0206X	Surgical Oncology Physician	A83029	CA

General Provider Information

NPI Number	:	1851515845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI UYENO MD

Provider Business Mailing Address
First Line	:	7910 FROST ST STE 250
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2752
Country	:	US
Telephone Number	:	858-565-0104
Fax Number	:

Provider Business Practice Location Address
First Line	:	7910 FROST ST STE 250
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2752
Country	:	US
Telephone Number	:	858-565-0104
Fax Number	:

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	11/08/2023

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