Provider Demographics
NPI:1427277375
Name:YOZA, RAYMOND K (DC)
Entity type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:K
Last Name:YOZA
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 1:99-185 MOANALUA RD
Mailing Address - Street 2:#106
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4037
Mailing Address - Country:US
Mailing Address - Phone:808-488-6330
Mailing Address - Fax:808-486-7501
Practice Address - Street 1:99-185 MOANALUA RD
Practice Address - Street 2:#106
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4037
Practice Address - Country:US
Practice Address - Phone:808-488-6330
Practice Address - Fax:808-486-7501
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDC-281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI545551Medicaid
HIT41326Medicare UPIN
HI545551Medicaid