MEDICARE: SHAWN MASAMI YOSHIDA

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1295346534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAWN MASAMI YOSHIDA

Provider Business Mailing Address
First Line	:	8803 HERMOSA DR
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-1816
Country	:	US
Telephone Number	:	626-589-1694
Fax Number	:

Provider Business Practice Location Address
First Line	:	8803 HERMOSA DR
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-1816
Country	:	US
Telephone Number	:	626-589-1694
Fax Number	:

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

Provider Enumeration Date	:	08/11/2020
Last Update Date	:	12/03/2021

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Directions to “ SHAWN MASAMI YOSHIDA ” Practice Location

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