Healthcare Provider Details

I. General information

NPI: 1730864554
Provider Name (Legal Business Name): YOSHIDA, YAMADA & WASHINGTON SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2023
Last Update Date: 06/19/2023
Certification Date: 06/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 E 4TH ST STE B
LONG BEACH CA
90802-1869
US

IV. Provider business mailing address

11138 DEL AMO BLVD STE 399
LAKEWOOD CA
90715-1103
US

V. Phone/Fax

Practice location:
  • Phone: 562-207-5564
  • Fax:
Mailing address:
  • Phone: 562-207-5564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: BRANDON R WASHINGTON
Title or Position: OWNER/EXEC DIRECTOR/PSYCHOTHERAPIST
Credential: LCSW
Phone: 310-626-7649