Provider Demographics
NPI:1790074755
Name:HONDA, YUKAKO (MD)
Entity Type:Individual
Prefix:MRS
First Name:YUKAKO
Middle Name:
Last Name:HONDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2100 WEBSTER ST
Mailing Address - Street 2:#423
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2373
Mailing Address - Country:US
Mailing Address - Phone:415-923-3551
Mailing Address - Fax:415-923-6540
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:#423
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2373
Practice Address - Country:US
Practice Address - Phone:415-923-3551
Practice Address - Fax:415-923-6540
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA124756207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ10141ZMedicare UPIN