Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FX1100X | Ophthalmic | G74387 | CA |
Y | 207W00000X | Ophthalmologist | G74387 | CA |
NPI | 1023030301 |
---|---|
Provider Name | Robert Arthur Yohai |
First Address | Santa Rosa, CA 95404-4610 |
Second Address | Santa Rosa, CA 95404-4610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 06/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E76327 | (02) | CA |