Provider Demographics
NPI:1922510411
Name:NOMURA, YOKO (LAC)
Entity Type:Individual
Prefix:
First Name:YOKO
Middle Name:
Last Name:NOMURA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 E. 1ST ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-2616
Mailing Address - Country:US
Mailing Address - Phone:310-920-8761
Mailing Address - Fax:
Practice Address - Street 1:3490 LINDEN AVE.
Practice Address - Street 2:SUITE 3
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4518
Practice Address - Country:US
Practice Address - Phone:310-920-8761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC16988171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist