Individual
DR. JANIS NISHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2100 N TUSTIN ST, ORANGE, CA 92865-3702
(714) 637-5253
(714) 637-3808
Mailing address
2100 N TUSTIN ST, ORANGE, CA 92865-3702
(714) 637-5253
(714) 637-3808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10234 T
CA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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