Provider Demographics
NPI:1447656970
Name:YONAMINE, JON KALANI (ATC)
Entity type:Individual
Prefix:
First Name:JON
Middle Name:KALANI
Last Name:YONAMINE
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 S FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-2300
Mailing Address - Country:US
Mailing Address - Phone:214-740-2447
Mailing Address - Fax:213-740-0889
Practice Address - Street 1:3400 S FIGUEROA ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-2300
Practice Address - Country:US
Practice Address - Phone:213-740-2447
Practice Address - Fax:213-740-0889
Is Sole Proprietor?:No
Enumeration Date:2014-11-11
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer