Provider Demographics
NPI:1144985813
Name:YOSHIOKA, JAMIE (PHARM D)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:YOSHIOKA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SORBONNE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-8903
Mailing Address - Country:US
Mailing Address - Phone:949-374-2397
Mailing Address - Fax:
Practice Address - Street 1:1 SORBONNE
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-8903
Practice Address - Country:US
Practice Address - Phone:949-374-2397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA43582OtherLICENSE