Healthcare Provider Details

I. General information

NPI: 1427181510
Provider Name (Legal Business Name): YUMI OKUWAKI D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

582 MARKET ST STE 100
SAN FRANCISCO CA
94104-5302
US

IV. Provider business mailing address

582 MARKET ST STE 100
SAN FRANCISCO CA
94104-5302
US

V. Phone/Fax

Practice location:
  • Phone: 415-544-0700
  • Fax: 415-544-0812
Mailing address:
  • Phone: 415-544-0700
  • Fax: 415-544-0812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC30117
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: