Provider Demographics
NPI:1710447628
Name:YOSHIKAWA, GENE TITUNIK (MD)
Entity Type:Individual
Prefix:
First Name:GENE
Middle Name:TITUNIK
Last Name:YOSHIKAWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W CARSON ST # N18
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2059
Mailing Address - Country:US
Mailing Address - Phone:424-306-8220
Mailing Address - Fax:
Practice Address - Street 1:1000 W CARSON ST # N18
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2059
Practice Address - Country:US
Practice Address - Phone:424-306-8220
Practice Address - Fax:310-320-2564
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMDR-7700207R00000X
HIMD-22539207R00000X
CAA186395207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine