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Organization
MICHAEL KOBAYASHI, OD PROFESSIONAL CORPORATION
Active
Organization
MICHAEL KOBAYASHI, OD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K KOBAYASHI OD (CEO)
(310) 766-4510
Entity
Organization
Contact information
Practice address
18204 S WESTERN AVE, GARDENA, CA 90248-3819
(310) 719-2020
(310) 719-2068
Mailing address
18204 S WESTERN AVE, GARDENA, CA 90248-3819
(310) 719-2020
(310) 719-2068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GA664Z
MEDICARE
CA
Enumeration date
04/27/2019
Last updated
04/27/2019
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