Healthcare Provider Details

I. General information

NPI: 1760419857
Provider Name (Legal Business Name): YOSHIMI YU L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YOSHIMI UMEMURA L.AC.

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5827 1/2 TEMPLE CITY BLVD
TEMPLE CITY CA
91780-2113
US

IV. Provider business mailing address

9116 E FAIRVIEW AVE
SAN GABRIEL CA
91775-3105
US

V. Phone/Fax

Practice location:
  • Phone: 626-215-1577
  • Fax:
Mailing address:
  • Phone: 626-215-1577
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC9171
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License NumberAC9171
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: