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Organization
K. LEO UYEDA, OD
Active
Organization
K. LEO UYEDA, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATSUMASA LEO UYEDA O.D. (OPTOMETRIST)
(714) 522-6703
Entity
Organization
Contact information
Practice address
5426 BEACH BLVD, BUENA PARK, CA 90621-1234
(714) 522-6703
(714) 522-6704
Mailing address
5426 BEACH BLVD, BUENA PARK, CA 90621-1234
(714) 522-6703
(714) 522-6704
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA7103T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0071031
—
CA
Enumeration date
12/28/2006
Last updated
08/22/2020
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