Healthcare Provider Details

I. General information

NPI: 1023030301
Provider Name (Legal Business Name): ROBERT ARTHUR YOHAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 05/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

864 2ND ST
SANTA ROSA CA
95404-4610
US

IV. Provider business mailing address

864 2ND ST
SANTA ROSA CA
95404-4610
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License NumberG74387
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG74387
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: