NPI Code Detail JSON Logo

1538745542 NPI number — BRANDON CHANG YOSHIDA MD

NPI Number: 1538745542
Health Care Provider/Practitioner: BRANDON CHANG YOSHIDA MD

Information about “1538745542” NPI (BRANDON CHANG YOSHIDA MD) exists in 1538745542 in HTML format HTML  |  1538745542 in plain Text format TXT  |  1538745542 in PDF (Portable Document Format) PDF  |  1538745542 in an XML format XML  formats.

NPI Number : 1538745542 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538745542",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "YOSHIDA",
    "FirstName": "BRANDON",
    "MiddleName": "CHANG",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "609 N STONEMAN AVE UNIT A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ALHAMBRA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91801-1405",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "916-300-2901",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1540 ALCAZAR STREET",
    "SecondLinePracticeLocationAddress": "CHP 207",
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90089-9007",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-409-7346",
    "PracticeLocationAddressFaxNumber": "323-226-4051",
    "EnumerationDate": "03/20/2021",
    "LastUpdateDate": "03/20/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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