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1588643969
EDEN KATSUMASA YAWATA
FOUNTAIN VALLEY, CA
NPI
1588643969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A7933)
Enumeration Date
2006-01-12
Last Update Date
2016-03-30
Business Address
Mr. EDEN KATSUMASA YAWATA D.O.
18785 BROOKHURST ST SUITE 101
FOUNTAIN VALLEY, CA 92708-7300
Phone number: 714-378-0042
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Mailing Address
Mr. EDEN KATSUMASA YAWATA D.O.
PO BOX 3699
NEWPORT BEACH, CA 92659-8699
Phone number: 657-241-3600
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