Healthcare Provider Details
I. General information
NPI: 1417375874
Provider Name (Legal Business Name): CHRISTINE ANG YOSHIOKA N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/02/2014
Last Update Date: 01/17/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2801 ATLANTIC AVE
LONG BEACH CA
90806-1701
US
IV. Provider business mailing address
2801 ATLANTIC AVE
LONG BEACH CA
90806-1701
US
V. Phone/Fax
- Phone: 562-933-0619
- Fax:
- Phone: 562-933-0622
- Fax: 562-933-0646
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 95000598 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| License Number | 95000598 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: