Provider Demographics
NPI:1013114313
Name:THE FAMILY MEDICINE CENTER
Entity Type:Organization
Organization Name:THE FAMILY MEDICINE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOSHIKAWA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-772-1030
Mailing Address - Street 1:1211 W. LA PALMA AVENUE
Mailing Address - Street 2:SUITE #404
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-2806
Mailing Address - Country:US
Mailing Address - Phone:714-772-1030
Mailing Address - Fax:714-772-1758
Practice Address - Street 1:1211 W. LA PALMA AVENUE
Practice Address - Street 2:SUITE #404
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2806
Practice Address - Country:US
Practice Address - Phone:714-772-1030
Practice Address - Fax:714-772-1758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1750436473OtherNPI
CA1871648121OtherNPI
CA1871648121OtherNPI
CAW11138Medicare PIN