Individual
DR. JEFFREY T KUBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
280 W HILLCREST DR, THOUSAND OAKS, CA 91360-4210
(805) 497-3594
Mailing address
466 NOVARA WAY, OAK PARK, CA 91377-5556
(805) 497-3594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10254
CA
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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