Provider Demographics
NPI:1912228594
Name:ROBERT A. YOHAI, MD, PC
Entity Type:Organization
Organization Name:ROBERT A. YOHAI, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:YOHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-878-0222
Mailing Address - Street 1:864 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4610
Mailing Address - Country:US
Mailing Address - Phone:707-544-7044
Mailing Address - Fax:707-544-1051
Practice Address - Street 1:165 ROWLAND WAY
Practice Address - Street 2:SUITE 308
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5038
Practice Address - Country:US
Practice Address - Phone:415-878-0222
Practice Address - Fax:707-544-1051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-17
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG74387207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE76327Medicare UPIN