Yoshimura, Phillip Yasuo

Yoshimura, Phillip Yasuo is an sole proprietor health care provider with primary practice located at 1111 N El Dorado St , Stockton CA 95202-1305. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Yoshimura, Phillip Yasuo can be contacted via phone (209) 938-0228.

Contact Information

Primary practice address
1111 N El Dorado St Stockton CA 95202-1305
Phone: (209) 938-0228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 10223 California

Profile Details

NPI number 1831252832
LBN Legal business name Yoshimura, Phillip Yasuo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831252832 NPPES
California MEDICAID 363A00000X

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