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Organization
WILLIAM K. SHIOMI, O.D., INC
Active
Organization
WILLIAM K. SHIOMI, O.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KEN SHIOMI O.D. (PRESIDENT)
(310) 532-2622
Entity
Organization
Contact information
Practice address
20700 AVALON BLVD, SUITE #343, CARSON, CA 90746-3734
(310) 532-2622
(310) 532-6412
Mailing address
20700 AVALON BLVD, SUITE #343, CARSON, CA 90746-3734
(310) 532-2622
(310) 532-6412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5335T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0053350
—
CA
Enumeration date
09/20/2010
Last updated
07/23/2012
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