Provider Demographics
NPI:1528250230
Name:UYEDA, KIMBERLY EMIKO (MD)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:EMIKO
Last Name:UYEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1430 S. SAN JULIAN ST.
Mailing Address - Street 2:BUILDING #2
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3142
Mailing Address - Country:US
Mailing Address - Phone:213-765-2830
Mailing Address - Fax:213-765-3862
Practice Address - Street 1:1430 S. SAN JULIAN ST.
Practice Address - Street 2:BUILDING #2
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3142
Practice Address - Country:US
Practice Address - Phone:213-765-2830
Practice Address - Fax:213-765-3862
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA064336208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics