Provider Demographics
NPI:1821235953
Name:HAYASHI-OSORNO, COURTNEY KIKUE
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:KIKUE
Last Name:HAYASHI-OSORNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5633 LINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-4821
Mailing Address - Country:US
Mailing Address - Phone:619-825-5109
Mailing Address - Fax:
Practice Address - Street 1:5296 UNIVERSITY AVE STE F2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-2269
Practice Address - Country:US
Practice Address - Phone:619-229-3660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker