Provider Demographics
NPI:1043261712
Name:OSAKO, ERIN AKEMI (OD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:AKEMI
Last Name:OSAKO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:AKEMI
Other - Last Name:NAKAYAMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:100 E HUNTINGTON DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-1022
Mailing Address - Country:US
Mailing Address - Phone:626-289-9171
Mailing Address - Fax:626-289-1026
Practice Address - Street 1:100 E HUNTINGTON DR
Practice Address - Street 2:SUITE 102
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-1022
Practice Address - Country:US
Practice Address - Phone:626-289-9171
Practice Address - Fax:626-289-1026
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12336TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV08447Medicare UPIN