Provider Demographics
NPI:1902651243
Name:CHOKAPHIRAT, YOSITA
Entity Type:Individual
Prefix:
First Name:YOSITA
Middle Name:
Last Name:CHOKAPHIRAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 VIA RICASOL APT A226
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-8847
Mailing Address - Country:US
Mailing Address - Phone:775-815-8828
Mailing Address - Fax:
Practice Address - Street 1:1 CORPORATE PLAZA DR STE 100
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7924
Practice Address - Country:US
Practice Address - Phone:949-722-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1496175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath