Provider Demographics
NPI:1982090858
Name:OKADA, CLIFF (MD)
Entity Type:Individual
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First Name:CLIFF
Middle Name:
Last Name:OKADA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8390 CHAMPIONS GATE BLVD
Mailing Address - Street 2:STE 215
Mailing Address - City:CHAMPIONS GATE
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8310
Mailing Address - Country:US
Mailing Address - Phone:321-401-1364
Mailing Address - Fax:407-390-1765
Practice Address - Street 1:1400 SOUTH GRAND AVE
Practice Address - Street 2:STE 801
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3068
Practice Address - Country:US
Practice Address - Phone:213-741-9727
Practice Address - Fax:213-741-0867
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2016-11-10
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Provider Licenses
StateLicense IDTaxonomies
CAA133345207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine