Individual
MARK OKAWACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4130
Mailing address
1022 ELM CT, EL CERRITO, CA 94530-2602
(510) 526-1612
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C16009
CA
Other
Enumeration date
01/12/2007
Last updated
02/11/2022
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