Healthcare Provider Details
I. General information
NPI: 1841305588
Provider Name (Legal Business Name): DARCY OIKAWA D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
645 TAMALPAIS DR
CORTE MADERA CA
94925-1613
US
IV. Provider business mailing address
PO BOX 1848
NOVATO CA
94948-1848
US
V. Phone/Fax
- Phone: 415-924-6500
- Fax: 415-927-0829
- Phone: 415-897-9195
- Fax: 415-897-0346
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 29861 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: