Provider Demographics
NPI:1467541938
Name:OYAKAWA, RAY TAKAKI (MD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:TAKAKI
Last Name:OYAKAWA
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 1:20911 EARL ST
Mailing Address - Street 2:SUITE 240A
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4352
Mailing Address - Country:US
Mailing Address - Phone:310-792-1010
Mailing Address - Fax:310-792-1007
Practice Address - Street 1:20911 EARL ST
Practice Address - Street 2:SUITE 240A
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4352
Practice Address - Country:US
Practice Address - Phone:310-792-1010
Practice Address - Fax:310-792-1007
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG44155207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A49566Medicare UPIN