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Organization
KARA TAKEDA OD, A PROFESSIONAL CORPORATION
Active
Organization
KARA TAKEDA OD, A PROFESSIONAL CORPORATION
Active
Other names
Lakewood Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
KARA TAKEDA OD (OWNER)
(626) 475-6076
Entity
Organization
Contact information
Practice address
4198 WOODRUFF AVE, LAKEWOOD, CA 90713-3100
(626) 475-6076
Mailing address
4198 WOODRUFF AVE, LAKEWOOD, CA 90713-3100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12862TLG
CA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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