Provider Demographics
NPI:1902486202
Name:YOSHIYAMA, NANCY CHIYEKO (PHARMD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:CHIYEKO
Last Name:YOSHIYAMA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4042 ROUSSEAU LN
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES PENINSULA
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3948
Mailing Address - Country:US
Mailing Address - Phone:310-265-8149
Mailing Address - Fax:
Practice Address - Street 1:4042 ROUSSEAU LN
Practice Address - Street 2:
Practice Address - City:PALOS VERDES PENINSULA
Practice Address - State:CA
Practice Address - Zip Code:90274-3948
Practice Address - Country:US
Practice Address - Phone:310-265-8149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-11
Last Update Date:2021-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43844183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist