NPI 1508030727

Joseph K. Kikumoto, O.D.

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

Authorised official

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

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 8759TPL (CA)

Other Optometrist providers in California →

Registry record

NPI: 1508030727
Entity type: Organization
NPI issued: 18 Apr 2008
Record last updated: 18 Apr 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.