Provider Demographics
NPI:1508040379
Name:DORSEY, MIYOSHI UMEKI
Entity Type:Individual
Prefix:MRS
First Name:MIYOSHI
Middle Name:UMEKI
Last Name:DORSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 IMPERIAL HWY
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2835
Mailing Address - Country:US
Mailing Address - Phone:323-981-4301
Mailing Address - Fax:323-881-6733
Practice Address - Street 1:1500 S. MC DOWELL AVE.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90040
Practice Address - Country:US
Practice Address - Phone:323-981-4301
Practice Address - Fax:323-881-6733
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management