Provider Demographics
NPI:1083717532
Name:YAMAZAKI, FRANCIS MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:MICHAEL
Last Name:YAMAZAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4148
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-4148
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:310-792-3621
Practice Address - Street 1:6801 PARK TER
Practice Address - Street 2:SUITE #300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-1543
Practice Address - Country:US
Practice Address - Phone:310-665-7150
Practice Address - Fax:310-665-7171
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48178207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG48178CMedicare ID - Type Unspecified
CAG48178Medicare PIN
CAA50962Medicare UPIN
CA00G481780Medicare ID - Type Unspecified