Provider Demographics
NPI:1861831901
Name:YOSHIOKA, BRIAN (OD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:YOSHIOKA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 CARICIA DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6005
Mailing Address - Country:US
Mailing Address - Phone:626-419-5569
Mailing Address - Fax:
Practice Address - Street 1:1425 W ARTESIA BLVD
Practice Address - Street 2:SUITE #32
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-3231
Practice Address - Country:US
Practice Address - Phone:310-769-1642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14653152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist