Provider Demographics
NPI:1902989650
Name:UCHIDA, YUKI (DC, LAC)
Entity Type:Individual
Prefix:DR
First Name:YUKI
Middle Name:
Last Name:UCHIDA
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2383 LOMITA BLVD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-1446
Mailing Address - Country:US
Mailing Address - Phone:310-530-8877
Mailing Address - Fax:
Practice Address - Street 1:2383 LOMITA BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-1446
Practice Address - Country:US
Practice Address - Phone:310-530-8877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26503111N00000X
CAAC8928171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist