Healthcare Provider Details

I. General information

NPI: 1811808306
Provider Name (Legal Business Name): MAYUMI DOJIMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 GILDA WAY
SAN JOSE CA
95124-6299
US

IV. Provider business mailing address

1755 GILDA WAY
SAN JOSE CA
95124-6299
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-2126
  • Fax:
Mailing address:
  • Phone: 408-356-2126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number9F52AB604C
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: