Izumi Yasuhara
Physical Therapist
1600 Main St Fl 2
Venice
, California 90291-3626
Izumi Yasuhara
Physical Therapist
1600 Main St Fl 2
Venice
, California 90291-3626
(888) 858-1601
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Izumi Yasuhara
- 1600 Main St Fl 2
- Venice, CA
- Zip : 90291-3626
- Fax : (888) 858-1601
- Phone : (888) 859-0145
Second Address
- Izumi Yasuhara
- 1600 Main St Fl 2
- Venice, CA
- Zip : 90291-3626
- Fax : (888) 858-1601
- Phone : (888) 859-0145
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 38963 | CA |
National Provider Identifier
| NPI | 1003170846 |
|---|---|
| Provider Name | Izumi Yasuhara |
| First Address | Venice, CA 90291-3626 |
| Second Address | Venice, CA 90291-3626 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2012 |
| Last Update Date | 02/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 38963 | CA STATE PT LIC (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.