Individual
SANDY THAI YOKOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1255 W ARROW HWY, SAN DIMAS, CA 91773-2340
(909) 394-2506
Mailing address
1255 W ARROW HWY, SAN DIMAS, CA 91773-2340
(909) 394-2506
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740473198
—
CA
Enumeration date
08/20/2007
Last updated
12/02/2021
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