Provider Demographics
NPI:1508191842
Name:DAVID F YOSHIDA DC A CHIROPRACTIC CORPORATION
Entity Type:Organization
Organization Name:DAVID F YOSHIDA DC A CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FUMITAKA
Authorized Official - Last Name:YOSHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-327-5102
Mailing Address - Street 1:1743 W. 162ND STREET
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3782
Mailing Address - Country:US
Mailing Address - Phone:310-327-5102
Mailing Address - Fax:310-324-3934
Practice Address - Street 1:1743 W. 162ND STREET
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3782
Practice Address - Country:US
Practice Address - Phone:310-327-5102
Practice Address - Fax:310-324-3934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-05
Last Update Date:2009-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC12105111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT17267Medicare UPIN