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Organization

JOSEPH K. KIKUMOTO, O.D., AN OPTOMETRIC CORPORATION

Active
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Organization

JOSEPH K. KIKUMOTO, O.D., AN OPTOMETRIC CORPORATION

Active
Other names
Doheny Optometric Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH KEITH KIKUMOTO O.D. (PRESIDENT)
(949) 443-3794
Entity
Organization

Contact information

Practice address
31401 RANCHO VIEJO RD, SUITE 103, SAN JUAN CAPISTRANO, CA 92675-1851
(949) 443-3794
(949) 443-3828
Mailing address
31401 RANCHO VIEJO RD, SUITE 103, SAN JUAN CAPISTRANO, CA 92675-1851
(949) 443-3794
(949) 443-3828

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
COR 1173
CA

Other

Enumeration date
09/17/2006
Last updated
06/23/2008
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