Provider Demographics
NPI:1194871467
Name:AOYAMA, AKIRA NMN (RPH)
Entity type:Individual
Prefix:
First Name:AKIRA
Middle Name:NMN
Last Name:AOYAMA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:680 E ROMIE LN
Mailing Address - Street 2:SUITE E
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4206
Mailing Address - Country:US
Mailing Address - Phone:831-769-9118
Mailing Address - Fax:831-769-0468
Practice Address - Street 1:680 E ROMIE LN
Practice Address - Street 2:SUITE E
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4206
Practice Address - Country:US
Practice Address - Phone:831-769-9118
Practice Address - Fax:831-769-0468
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist