Provider Demographics
NPI:1609108554
Name:SATO, YUKIYE J (LAC)
Entity Type:Individual
Prefix:
First Name:YUKIYE
Middle Name:J
Last Name:SATO
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 1:10846 BEVERLY BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-2571
Mailing Address - Country:US
Mailing Address - Phone:562-686-8419
Mailing Address - Fax:
Practice Address - Street 1:10846 BEVERLY BLVD
Practice Address - Street 2:STE B
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-2571
Practice Address - Country:US
Practice Address - Phone:562-686-8419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist