MEDICARE: DR. COURTNEY HATSUYE YOSHIKAWA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	52869	CA

General Provider Information

NPI Number	:	1073637187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY HATSUYE YOSHIKAWA D.D.S.

Provider Business Mailing Address
First Line	:	7740 W MANCHESTER AVE
Second Line	:	SUITE 108
City	:	PLAYA DEL REY
State	:	CA
Zip	:	90293-6400
Country	:	US
Telephone Number	:	310-822-4987
Fax Number	:	310-305-7610

Provider Business Practice Location Address
First Line	:	7740 W MANCHESTER AVE
Second Line	:	SUITE 108
City	:	PLAYA DEL REY
State	:	CA
Zip	:	90293-6400
Country	:	US
Telephone Number	:	310-822-4987
Fax Number	:	310-305-7610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	03/12/2008

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