Provider Demographics
NPI:1225141377
Name:OZAKI, RIKIO ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RIKIO
Middle Name:ALAN
Last Name:OZAKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6041 CADILLAC AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-1702
Mailing Address - Country:US
Mailing Address - Phone:323-857-4256
Mailing Address - Fax:323-857-2948
Practice Address - Street 1:6041 CADILLAC AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-1702
Practice Address - Country:US
Practice Address - Phone:323-857-4256
Practice Address - Fax:323-857-2948
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA70003207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A700030OtherMEDICAL PPIN #
CAWA70003BMedicare ID - Type UnspecifiedPPIN #
CA00A700030OtherMEDICAL PPIN #