# KOHARAEYE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497262141
- **Authorized official:** DR. EUNICE MAYA KOHARA DO (PRESIDENT)
- **Authorized official phone:** (323) 682-0289

## Contact information

- **Practice address:** 3831 HUGHES AVE STE 104, CULVER CITY, CA 90232-6834
- **Practice address phone:** (323) 682-0289
- **Practice address fax:** (855) 538-9401
- **Mailing address:** 8605 SANTA MONICA BLVD \# 69638, LOS ANGELES, CA 90069-4109
- **Mailing address phone:** (323) 682-0289
- **Mailing address fax:** (855) 538-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | NULL | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | — | — |

## Other

- **Enumeration date:** 01/03/2018
- **Last updated:** 09/03/2024