Provider Demographics
NPI:1265644603
Name:FUJIMAKI, YOKO (LAC)
Entity Type:Individual
Prefix:
First Name:YOKO
Middle Name:
Last Name:FUJIMAKI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 N CRESCENT HEIGHTS BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-2425
Mailing Address - Country:US
Mailing Address - Phone:323-656-9944
Mailing Address - Fax:
Practice Address - Street 1:1509 N CRESCENT HEIGHTS BLVD STE 1
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-2425
Practice Address - Country:US
Practice Address - Phone:323-656-9944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9858171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist