Individual
BITA SHOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
100 STEIN PLZ, LOS ANGELES, CA 90095-7065
(310) 825-3090
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT12043T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0120430
—
CA
Enumeration date
07/24/2006
Last updated
02/22/2021
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