Provider Demographics
NPI:1922063601
Name:YANO, AYAKO (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:AYAKO
Middle Name:
Last Name:YANO
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 N SAN MATEO DR
Mailing Address - Street 2:NIHON BAY CLINIC
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2824
Mailing Address - Country:US
Mailing Address - Phone:650-558-0337
Mailing Address - Fax:650-558-9364
Practice Address - Street 1:40 N SAN MATEO DR
Practice Address - Street 2:NIHON BAY CLINIC
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-2824
Practice Address - Country:US
Practice Address - Phone:650-558-0337
Practice Address - Fax:650-558-9364
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85123208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics