Healthcare Provider Details

I. General information

NPI: 1093755498
Provider Name (Legal Business Name): MAKI AOKI MD, ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 03/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 DIVISADERO ST
SAN FRANCISCO CA
94143-3400
US

IV. Provider business mailing address

1545 DIVISADERO ST
SAN FRANCISCO CA
94143-3400
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7900
  • Fax:
Mailing address:
  • Phone: 415-353-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1424
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number256493
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA142122
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: