Individual
MRS. CARRIE W KUMABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3756 SANTA ROSALIA DR, SUITE 100, LOS ANGELES, CA 90008-3606
(323) 294-7517
(323) 294-9219
Mailing address
3756 SANTA ROSALIA DR, SUITE 100, LOS ANGELES, CA 90008-3606
(323) 294-7517
(323) 294-9219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
232T
HI
152W00000X
Optometrist
Primary
8343T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0083430
—
CA
Enumeration date
07/30/2006
Last updated
04/03/2014
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