Individual provider · Type 1 NPI

Roy Shogo Hamamoto, PA

Medical Physician Assistant · Los Angeles, CA

NPI number 1083791693 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Call (310) 478-3711 Map

Fax (310) 268-4245

Mailing address

916 E Merced Ave
West Covina, CA 91790-5225

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10238 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1083791693

Roy Shogo Hamamoto, PA's National Provider Identifier is 1083791693, issued on Nov 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.