Healthcare Provider Details

I. General information

NPI: 1902143019
Provider Name (Legal Business Name): KAYO OKOHIRA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2013
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 S MAIN ST STE 101
SALINAS CA
93901-2286
US

IV. Provider business mailing address

6705 CAMINO ARROYO
GILROY CA
95020-7075
US

V. Phone/Fax

Practice location:
  • Phone: 831-422-5988
  • Fax: 831-422-5999
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number59707
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: