Individual
MS. JANET ELIZABETH KOHTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6700 INDIANA AVE, SUITE 155, RIVERSIDE, CA 92506-4290
(951) 682-1600
(951) 682-1680
Mailing address
6700 INDIANA AVE, SUITE 155, RIVERSIDE, CA 92506-4290
(951) 682-1600
(951) 682-1680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT4883TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0569760001
CIGNA MEDICARE
—
05
—
GSD000520
—
CA
01
—
P00316151
RAILROAD MEDICARE
—
05
—
SD0048830
—
CA
Enumeration date
08/30/2006
Last updated
02/23/2012
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