Mr. Mark Steven Yamaka
Orthotic Fitter
5940 E Washington Blvd
Commerce
, California 90040-2413
Mr. Mark Steven Yamaka
Orthotic Fitter
5940 E Washington Blvd
Commerce
, California 90040-2413
(323) 721-6746
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Mark Steven Yamaka
- 5940 E Washington Blvd
- Commerce, CA
- Zip : 90040-2413
- Fax : (323) 721-6746
- Phone : (323) 721-6706
Second Address
- Mr. Mark Steven Yamaka
- 5940 E Washington Blvd
- Commerce, CA
- Zip : 90040-2413
- Fax : (323) 721-6746
- Phone : (323) 721-6706
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CP001339 | CA |
National Provider Identifier
| NPI | 1376736942 |
|---|---|
| Provider Name | Mr. Mark Steven Yamaka |
| First Address | Commerce, CA 90040-2413 |
| Second Address | Commerce, CA 90040-2413 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2007 |
| Last Update Date | 27/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| XB0013390 | (05) | 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.