Provider Demographics
NPI:1467759704
Name:YOSHIDA, MIHO (DO)
Entity Type:Individual
Prefix:DR
First Name:MIHO
Middle Name:
Last Name:YOSHIDA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 E VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3920
Mailing Address - Country:US
Mailing Address - Phone:559-825-1112
Mailing Address - Fax:559-203-7550
Practice Address - Street 1:5339 N FRESNO ST STE 107D
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6851
Practice Address - Country:US
Practice Address - Phone:559-825-1112
Practice Address - Fax:559-203-7550
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036136332204D00000X, 207Q00000X
NMA-1912-15207Q00000X
CA20A11868207Q00000X, 204D00000X
AR11868207Q00000X
AZ006147207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine