Individual
KAITLIN KOGACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3553 WHIPPLE RD BLDG B1, UNION CITY, CA 94587-1507
(510) 675-2020
Mailing address
3553 WHIPPLE RD BLDG B1, UNION CITY, CA 94587-1507
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
PG212223
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
08/22/2023
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