Healthcare Provider Details

I. General information

NPI: 1295962272
Provider Name (Legal Business Name): HENRY T OISHI OD APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 03/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31843 RANCHO CALIFORNIA RD SUITE 100
TEMECULA CA
92591-5120
US

IV. Provider business mailing address

31843 RANCHO CALIFORNIA RD SUITE 100
TEMECULA CA
92591-5120
US

V. Phone/Fax

Practice location:
  • Phone: 951-587-6500
  • Fax: 951-587-6550
Mailing address:
  • Phone: 951-587-6500
  • Fax: 951-587-6550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number12717T
License Number StateCA

VIII. Authorized Official

Name: DR. HENRY OISHI
Title or Position: PRESIDENT/OPTOMETRIST
Credential: O.D.
Phone: 951-587-6500