Ken Yoshio Tanisawa, OD

NPI #1669579660 in Burlingame, California

Provider Information

NPI Number: 1669579660
Entity Type: Individual
Name: Ken Yoshio Tanisawa, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1419 BURLINGAME AVENUE
Address 2: SUITE F
City: Burlingame
State: California
ZIP Code: 94010-4119
Phone: (650) 342-7715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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