Individual
LISA NORIYE OKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2925 SYCAMORE DR, SUITE 101, SIMI VALLEY, CA 93065-1207
(805) 520-6430
(805) 520-5955
Mailing address
2925 SYCAMORE DR, SUITE 101, SIMI VALLEY, CA 93065-1207
(805) 520-6430
(805) 520-5955
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G63980
CA
207NS0135X
Procedural Dermatology Physician
G63980
CA
Other
Enumeration date
08/10/2006
Last updated
08/05/2010
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