MEDICARE: DR. TAKASHI STEVE YOSHIMURA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	13719	CA

General Provider Information

NPI Number	:	1104840602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAKASHI STEVE YOSHIMURA D.C.

Provider Business Mailing Address
First Line	:	10375 TOPEKA DR
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91326-3334
Country	:	US
Telephone Number	:	818-360-1345
Fax Number	:

Provider Business Practice Location Address
First Line	:	8246 SUNLAND BLVD
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-3301
Country	:	US
Telephone Number	:	818-767-0177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	02/01/2008

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