Individual
HERBERT KEIJI WAKAMATSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3525 W 8TH ST, #228B, LOS ANGELES, CA 90005-2993
(213) 380-2831
(213) 384-2002
Mailing address
16302 HEARTWOOD CT, LA MIRADA, CA 90638-6516
(562) 279-5406
(213) 384-2002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5224T
CA
152W00000X
Optometrist
Primary
OPT 5224T
CA
Other
Enumeration date
05/31/2006
Last updated
12/01/2008
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