Healthcare Provider Details

I. General information

NPI: 1487003810
Provider Name (Legal Business Name): MICHAEL YOSHINAGA PT, DPT, MS, OCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2016
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7601 IMPERIAL HWY
DOWNEY CA
90242-3456
US

IV. Provider business mailing address

575 CINDERELLA DR
CLAREMONT CA
91711-5127
US

V. Phone/Fax

Practice location:
  • Phone: 562-385-6847
  • Fax:
Mailing address:
  • Phone: 714-293-2852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number297173
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: