Individual
DR. CHARLENE VIMALA KAKIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 PROSPECT PL, STE. 260, CORONADO, CA 92118-1978
(619) 437-1146
(619) 437-1146
Mailing address
230 PROSPECT PL, STE. 260, CORONADO, CA 92118-1978
(619) 437-1146
(619) 437-1912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A82481
CA
Other
Enumeration date
01/30/2006
Last updated
09/27/2013
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