Healthcare Provider Details

I. General information

NPI: 1437575842
Provider Name (Legal Business Name): DAWN YOSHIOKA ACUPUNCTURE & CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2014
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S BARRINGTON AVE 312
LOS ANGELES CA
90025-5363
US

IV. Provider business mailing address

11901 SANTA MONICA BLVD 377
LOS ANGELES CA
90025-2767
US

V. Phone/Fax

Practice location:
  • Phone: 424-273-1210
  • Fax: 310-997-3530
Mailing address:
  • Phone: 310-892-9495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC-12570
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC-30522
License Number StateCA

VIII. Authorized Official

Name: DR. DAWN NAOMI YOSHIOKA EBERLY
Title or Position: OWNER
Credential: D.C., L.AC
Phone: 310-892-9495