Basic Information
| Provider Information | |||||||||
| NPI: | 1962635680 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MASAMI HATTORI MD INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 CALIFORNIA ST | ||||||||
| Address2: | STE 340 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941094586 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4153318390 | ||||||||
| FaxNumber: | 4153318380 | ||||||||
| Practice Location | |||||||||
| Address1: | 1700 CALIFORNIA ST | ||||||||
| Address2: | STE 340 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941094586 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4153318390 | ||||||||
| FaxNumber: | 4153318380 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2009 | ||||||||
| LastUpdateDate: | 08/27/2009 | ||||||||
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| AuthorizedOfficialLastName: | HATTORI | ||||||||
| AuthorizedOfficialFirstName: | MASAMI | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4153318390 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A61067 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.