Provider Demographics
NPI:1659007771
Name:TSUCHIYA, AKI CORINNE
Entity Type:Individual
Prefix:
First Name:AKI
Middle Name:CORINNE
Last Name:TSUCHIYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AKI
Other - Middle Name:CORINNE
Other - Last Name:TSUCHIYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:11222 SUNKIST DR
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-6569
Mailing Address - Country:US
Mailing Address - Phone:408-402-2623
Mailing Address - Fax:
Practice Address - Street 1:82013 DOCTOR CARREON BLVD
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-4832
Practice Address - Country:US
Practice Address - Phone:408-402-2623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1076791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice