Provider Demographics
NPI:1902503410
Name:YOSHIHIRO KATSUURA PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:YOSHIHIRO KATSUURA PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOSHIHIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:KATSUURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-697-8659
Mailing Address - Street 1:2324 SHATTUCK AVE # 214
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-1517
Mailing Address - Country:US
Mailing Address - Phone:415-697-8659
Mailing Address - Fax:
Practice Address - Street 1:100 ROWLAND WAY STE 300
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5041
Practice Address - Country:US
Practice Address - Phone:415-697-8659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty