| Hisako Ohmoto Md Inc | |
|
4466 Black Ave Ste A Pleasanton CA 94566-6130 | |
| (925) 600-8220 | |
| (925) 600-8221 |
| Full Name | Hisako Ohmoto Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4466 Black Ave Ste A, Pleasanton, California |
| Authorized Official Name and Position | Hisako Ohmoto (CEO) |
| Authorized Official Contact | 9256008220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hisako Ohmoto Md Inc 4466 Black Ave Ste A Pleasanton CA 94566-6130 Ph: (925) 600-8220 | Hisako Ohmoto Md Inc 4466 Black Ave Ste A Pleasanton CA 94566-6130 Ph: (925) 600-8220 |
| NPI Number | 1952513319 |
|---|---|
| Provider Enumeration Date | 05/05/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042260218 |
|---|---|
| Medicare Enrollment ID | O20050125000995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952513319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A73077 (California) | Primary |
| 207RR0500X | Internal Medicine - Rheumatology | A73077 (California) | Primary |
| Provider Name | Hisako Leung |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1194826354 PECOS PAC ID: 7719954635 Enrollment ID: I20040910001146 |
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