Provider Demographics
NPI:1114565843
Name:BABINEC, YUMI HOSHINA (MA, ATC)
Entity Type:Individual
Prefix:
First Name:YUMI
Middle Name:HOSHINA
Last Name:BABINEC
Suffix:
Gender:F
Credentials:MA, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 KIM LOUISE DR APT 1
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2652
Mailing Address - Country:US
Mailing Address - Phone:231-383-3368
Mailing Address - Fax:
Practice Address - Street 1:14000 FRUITVALE AVE
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-5698
Practice Address - Country:US
Practice Address - Phone:408-741-2408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer