Healthcare Provider Details

I. General information

NPI: 1801051842
Provider Name (Legal Business Name): YOJI KOBAYASHI L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2008
Last Update Date: 07/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 AIRPORT WAY S
SEATTLE WA
98134-1618
US

IV. Provider business mailing address

1700 AIRPORT WAY S
SEATTLE WA
98134-1618
US

V. Phone/Fax

Practice location:
  • Phone: 206-223-1373
  • Fax: 206-223-1482
Mailing address:
  • Phone: 206-223-1373
  • Fax: 206-223-1482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number029501-AC00000515
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: