Individual
DR. CARLOS YOSHIYUKI KONISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1120 W LA VETA AVE STE 660&470, ORANGE, CA 92868-4231
(714) 509-8210
Mailing address
1120 W LA VETA AVE STE 660, ORANGE, CA 92868-4244
(714) 509-8481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY22486
CA
Other
Enumeration date
09/29/2008
Last updated
09/05/2023
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