Provider Demographics
NPI:1568209807
Name:HAYAKAWA, YUUKI (LAC)
Entity type:Individual
Prefix:
First Name:YUUKI
Middle Name:
Last Name:HAYAKAWA
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27526 ELMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-3927
Mailing Address - Country:US
Mailing Address - Phone:424-210-2788
Mailing Address - Fax:
Practice Address - Street 1:4500 E PACIFIC COAST HWY STE 120
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3211
Practice Address - Country:US
Practice Address - Phone:209-330-7123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC00019917171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist