Provider Demographics
NPI:1922016971
Name:KASUGA, ALBERT RIKIO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:RIKIO
Last Name:KASUGA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1720 EL CAMINO REAL
Mailing Address - Street 2:#205
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3224
Mailing Address - Country:US
Mailing Address - Phone:650-259-5050
Mailing Address - Fax:650-697-1317
Practice Address - Street 1:1720 EL CAMINO REAL
Practice Address - Street 2:#205
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3224
Practice Address - Country:US
Practice Address - Phone:650-259-5050
Practice Address - Fax:650-697-1317
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG33162208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics