Individual provider · Type 1 NPI

Robert Uichanco

Primary Care Nurse Practitioner · Thousand Oaks, CA

NPI number 1124905062 Active

Practice location

227 W Janss Rd Ste 125
Thousand Oaks, CA 91360-1856

Fax (805) 449-4277

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95171145 (CA)
Primary Care Nurse Practitioner Primary 363LP2300X95036525 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1124905062

Robert Uichanco's National Provider Identifier is 1124905062, issued on Aug 20, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Thousand Oaks, CA. The record was last updated on Aug 20, 2025.