Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 1005 | NV |
Y | 207K00000X | Allergist & Immunologist | 20A6936 | CA |
NPI | 1124091814 |
---|---|
Provider Name | Dr. Denis J Yoshii |
First Address | Costa Mesa, CA 92626-4865 |
Second Address | Costa Mesa, CA 92626-4865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H31246 | (02) |