Provider Demographics
NPI:1407625973
Name:YOKOMORI, SACHIKO (LAC)
Entity Type:Individual
Prefix:
First Name:SACHIKO
Middle Name:
Last Name:YOKOMORI
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 1:3654 42ND ST APT 11
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-3354
Mailing Address - Country:US
Mailing Address - Phone:619-414-0621
Mailing Address - Fax:
Practice Address - Street 1:4455 TWAIN AVE STE H1
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-3464
Practice Address - Country:US
Practice Address - Phone:619-693-8559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist