Healthcare Provider Details

I. General information

NPI: 1487743688
Provider Name (Legal Business Name): KAREN YEE WAKAMOTO M.P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10601 WALKER ST STE 200
CYPRESS CA
90630-4744
US

IV. Provider business mailing address

10601 WALKER ST STE 200
CYPRESS CA
90630-4744
US

V. Phone/Fax

Practice location:
  • Phone: 714-798-7900
  • Fax: 714-798-7903
Mailing address:
  • Phone: 714-798-7900
  • Fax: 714-798-7903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number17984
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: