Healthcare Provider Details

I. General information

NPI: 1114071073
Provider Name (Legal Business Name): PATRICK D. YOSHINAGA O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5460 E LA PALMA AVE
ANAHEIM CA
92807-2023
US

IV. Provider business mailing address

823 S ATLANTIC BLVD SUITE 2
MONTEREY PARK CA
91754-4721
US

V. Phone/Fax

Practice location:
  • Phone: 714-463-7500
  • Fax: 714-992-7811
Mailing address:
  • Phone: 626-570-8800
  • Fax: 626-570-8892

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT7729TPG
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: