Individual provider · Type 1 NPI
Miki Stacy Ohata
Adult Health Nurse Practitioner · Newport Beach, CA
NPI number
1033760699
Active
Practice location
3900 W Coast Hwy Ste 310
Newport Beach, CA 92663-4093
Mailing address
1228 Phillips Ct
Santa Clara, CA 95051-3816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 95012564 (CA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95012564 (CA) |
Adult Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1033760699
Miki Stacy Ohata's National Provider Identifier is 1033760699, issued on Sep 25, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Newport Beach, CA. The record was last updated on Nov 26, 2019.