Healthcare Provider Details

I. General information

NPI: 1740739283
Provider Name (Legal Business Name): FUMIE YOSHIKAWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 LONG BEACH BLVD # 3009
LONG BEACH CA
90807-3346
US

IV. Provider business mailing address

3701 LONG BEACH BLVD # 30
LONG BEACH CA
90807-3346
US

V. Phone/Fax

Practice location:
  • Phone: 323-638-9422
  • Fax:
Mailing address:
  • Phone: 323-638-9422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMFT121608
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: