Provider Demographics
NPI:1215078316
Name:OISHI, ROBERT YUICHI (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:YUICHI
Last Name:OISHI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16801 S WESTERN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-5246
Mailing Address - Country:US
Mailing Address - Phone:310-532-9993
Mailing Address - Fax:310-542-1339
Practice Address - Street 1:16801 S WESTERN AVE STE B
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-5246
Practice Address - Country:US
Practice Address - Phone:310-532-9993
Practice Address - Fax:310-542-1339
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor