Provider Demographics
NPI:1720229636
Name:AKIYOSHI, JEFFERY Y (LAC)
Entity Type:Individual
Prefix:MR
First Name:JEFFERY
Middle Name:Y
Last Name:AKIYOSHI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 N BRANCIFORTE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-1052
Mailing Address - Country:US
Mailing Address - Phone:831-818-7281
Mailing Address - Fax:
Practice Address - Street 1:1222 N BRANCIFORTE AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-1052
Practice Address - Country:US
Practice Address - Phone:831-818-7281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 12904171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist