NPI 1154428712

Joseph K. Kikumoto, O.D., an Optometric Corporation

Organisation Optometrist San Juan Capistrano, CA

Practice location

Address: 31401 Rancho Viejo Rd Suite 103, San Juan Capistrano, CA 92675-1851
Phone: (949) 443-3794
Fax: (949) 443-3828

Authorised official

Name: Joseph Keith Kikumoto
Title: President
Phone: (949) 443-3794

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence COR 1173 (CA)

Other Optometrist providers in California →

Registry record

NPI: 1154428712
Entity type: Organization
NPI issued: 17 Sep 2006
Record last updated: 23 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.