Healthcare Provider Details

I. General information

NPI: 1013114313
Provider Name (Legal Business Name): THE FAMILY MEDICINE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 11/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 W. LA PALMA AVENUE SUITE #404
ANAHEIM CA
92801-2806
US

IV. Provider business mailing address

1211 W. LA PALMA AVENUE SUITE #404
ANAHEIM CA
92801-2806
US

V. Phone/Fax

Practice location:
  • Phone: 714-772-1030
  • Fax: 714-772-1758
Mailing address:
  • Phone: 714-772-1030
  • Fax: 714-772-1758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES S. YOSHIKAWA
Title or Position: OWNER
Credential: M.D.
Phone: 714-772-1030