Provider Demographics
NPI:1710351622
Name:ONISHI, ALEX
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:ONISHI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 SULLIVAN AVE STE 540
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2215
Mailing Address - Country:US
Mailing Address - Phone:650-755-6900
Mailing Address - Fax:
Practice Address - Street 1:1850 SULLIVAN AVE STE 540
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2215
Practice Address - Country:US
Practice Address - Phone:650-755-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA181374207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology