Healthcare Provider Details

I. General information

NPI: 1568421832
Provider Name (Legal Business Name): NORICHIKA A OKADA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W STEWART DR
ORANGE CA
92868-3849
US

IV. Provider business mailing address

PO BOX 1628
ORANGE CA
92856-0628
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-9111
  • Fax:
Mailing address:
  • Phone: 714-560-1580
  • Fax: 714-560-1585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA100398
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: