Provider Demographics
NPI:1790800746
Name:ASANO, YOSHITAKA (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:YOSHITAKA
Middle Name:
Last Name:ASANO
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 BARRANCA PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4671
Mailing Address - Country:US
Mailing Address - Phone:949-310-3312
Mailing Address - Fax:949-861-3270
Practice Address - Street 1:4950 BARRANCA PKWY
Practice Address - Street 2:SUITE 301
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604
Practice Address - Country:US
Practice Address - Phone:949-310-3312
Practice Address - Fax:949-861-3270
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30419111N00000X
CAAC 11793171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist