Healthcare Provider Details

I. General information

NPI: 1912228594
Provider Name (Legal Business Name): ROBERT A. YOHAI, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 06/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 ROWLAND WAY SUITE 308
NOVATO CA
94945-5038
US

IV. Provider business mailing address

864 2ND ST
SANTA ROSA CA
95404-4610
US

V. Phone/Fax

Practice location:
  • Phone: 415-878-0222
  • Fax: 707-544-1051
Mailing address:
  • Phone: 707-544-7044
  • Fax: 707-544-1051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG74387
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT ARTHUR YOHAI
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 415-878-0222