Healthcare Provider Details

I. General information

NPI: 1649908757
Provider Name (Legal Business Name): SAORI OKAWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2022
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 MISSION ST
SAN FRANCISCO CA
94103-2705
US

IV. Provider business mailing address

PO BOX 591593
SAN FRANCISCO CA
94159-1593
US

V. Phone/Fax

Practice location:
  • Phone: 415-650-6192
  • Fax:
Mailing address:
  • Phone: 415-909-8185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number117637
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: