Whalio Doctors

NPI 1043665219

Kimiko Agari

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Los Angeles, CA

Practice location

Address
1200 N State St, Los Angeles, CA 90089-1001
Phone
(209) 482-7872
Mailing address
6213 Embarcadero Dr, Stockton, CA 95219-3823

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DDS100623 (CA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1043665219
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Apr 2016
Record last updated
20 Jan 2024

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.