Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | OT10371 | CA |
NPI | 1235397563 |
---|---|
Provider Name | Ms. Yuko Ohshita |
First Address | Los Angeles, CA 90064-1937 |
Second Address | Gardena, CA 90249-3018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 16/11/2018 |