Healthcare Provider Details

I. General information

NPI: 1497627004
Provider Name (Legal Business Name): DENISE YOSHIHARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 E CHAPMAN AVE STE 230
PLACENTIA CA
92870-5090
US

IV. Provider business mailing address

1370 BREA BLVD STE 210
FULLERTON CA
92835-4128
US

V. Phone/Fax

Practice location:
  • Phone: 714-732-1773
  • Fax: 714-782-0885
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW16465
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: