Individual
MR. JIM MASAO YOSHIOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4655 RUFFNER STREET, SUITE 270, SAN DIEGO, CA 92111
(800) 787-6787
(800) 787-6762
Mailing address
4325 BERRYMAN AVENUE, APT 8, LOS ANGELES, CA 90066-6050
(310) 915-1626
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1195
CA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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