Provider Demographics
NPI:1437261781
Name:OKAMURA, NEIL R (DO)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:R
Last Name:OKAMURA
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1320 EL CAPITAN DR STE 310
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-6258
Mailing Address - Country:US
Mailing Address - Phone:925-380-6211
Mailing Address - Fax:925-244-0726
Practice Address - Street 1:1320 EL CAPITAN DR STE 310
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-6258
Practice Address - Country:US
Practice Address - Phone:925-380-6211
Practice Address - Fax:925-244-0726
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2020-01-30
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Provider Licenses
StateLicense IDTaxonomies
CA20A6158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF62065Medicare UPIN