Provider Demographics
NPI:1538745542
Name:YOSHIDA, BRANDON CHANG (MD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:CHANG
Last Name:YOSHIDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 N STONEMAN AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1405
Mailing Address - Country:US
Mailing Address - Phone:916-300-2901
Mailing Address - Fax:
Practice Address - Street 1:1540 ALCAZAR STREET
Practice Address - Street 2:CHP 207
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-9007
Practice Address - Country:US
Practice Address - Phone:323-409-7346
Practice Address - Fax:323-226-4051
Is Sole Proprietor?:No
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program