Healthcare Provider Details

I. General information

NPI: 1467759704
Provider Name (Legal Business Name): MIHO YOSHIDA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2011
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5339 N FRESNO ST STE 107D
FRESNO CA
93710-6851
US

IV. Provider business mailing address

2135 E VERMONT AVE
FRESNO CA
93720-3920
US

V. Phone/Fax

Practice location:
  • Phone: 559-825-1112
  • Fax: 559-203-7550
Mailing address:
  • Phone: 559-825-1112
  • Fax: 559-203-7550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number036136332
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA-1912-15
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A11868
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11868
License Number StateAR
# 5
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number006147
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036136332
License Number StateIL
# 7
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number20A11868
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: