Provider Demographics
NPI:1114924230
Name:OOKA, ALAN MASAAKI (APRN, BC, P-MHNP)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:MASAAKI
Last Name:OOKA
Suffix:
Gender:M
Credentials:APRN, BC, P-MHNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:41 GLENALMOND LN
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-0910
Mailing Address - Country:US
Mailing Address - Phone:310-621-7359
Mailing Address - Fax:
Practice Address - Street 1:23521 PASEO DE VALENCIA
Practice Address - Street 2:SUITE 206A
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3107
Practice Address - Country:US
Practice Address - Phone:949-768-6845
Practice Address - Fax:949-768-5124
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN 562338363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health