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Eric K Yasumoto, MD
Diagnostic Radiology Physician in Lodi, California
NPI 1700914116

Eric K Yasumoto is a Diagnostic Radiology Physician based in Stockton, CA and is specialized in Diagnostic Radiology. Eric K Yasumoto practices in Lodi, CA and has the professional credentials of MD. The NPI Number for Eric K Yasumoto is 1700914116 and holds a License No. A70070 (California).

The current practice location address for Eric K Yasumoto is 999 S Fairmont Ave, Lodi, CA and can be reached out via phone at 209-334-4416 and via fax at 209-371-0119.

Location: 999 S Fairmont Ave, Lodi, CA, 95219-7221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700914116
Provider Name
Eric K Yasumoto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
999 S Fairmont Ave, Lodi, CA, 95219-7221
Phone Number
209-334-4416
Fax Number
209-371-0119
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A700700 05 CA
institution
Provider Business Practice Location Address Details
Address
999 S Fairmont Ave
City
Lodi
State
California
Zip
95240-5100
Phone Number
209-334-4416
Fax Number
209-371-0119
person
Provider Business Mailing Address Details
Address
999 S Fairmont Ave
City
Lodi
State
California
Zip
95240-5100
Phone Number
209-334-4416
Fax Number
209-371-0119
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A70070 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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