Healthcare Provider Details

I. General information

NPI: 1164468716
Provider Name (Legal Business Name): SHARON YUMI HOSAKA D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 01/02/2020
Certification Date: 01/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 SANSOME ST STE 702
SAN FRANCISCO CA
94104-2325
US

IV. Provider business mailing address

233 SANSOME ST STE 702
SAN FRANCISCO CA
94104-2325
US

V. Phone/Fax

Practice location:
  • Phone: 415-421-3630
  • Fax: 877-893-0421
Mailing address:
  • Phone: 415-421-3630
  • Fax: 877-893-0421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE2678
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: