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NPI Code Detail

MEDICARE: TERI L. YOSHITAKE M.D.

MEDICARE: TERI L. YOSHITAKE M.D.
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
1207P00000XEmergency Medicine PhysicianA80605CA
2207P00000XEmergency Medicine PhysicianMD-13404HI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01138568OTHERCAMEDICARE RR- NO CAL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30000254037OTHERHIHMSA
4FK362ZOTHERCAPTAN- SO CAL
5FK362YOTHERCAPTAN- NO CAL

General Provider Information

NPI Number : 1205847555
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERI L. YOSHITAKE M.D.
Provider Business Mailing Address
First Line : 1601 MONTE VISTA AVE STE 190
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-6600
Country : US
Telephone Number : 909-865-9977
Fax Number : 909-694-2119
Provider Business Practice Location Address
First Line : 1601 MONTE VISTA AVE STE 190
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-6600
Country : US
Telephone Number : 909-865-9977
Fax Number : 909-469-2119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 02/25/2026

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Directions to “ TERI L. YOSHITAKE M.D.” Practice Location

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