Individual
DR. JEFFERY HITOSHI KAKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2001 E CHAPMAN AVE, FULLERTON, CA 92831-4105
(714) 738-6902
(714) 738-0296
Mailing address
2001 E CHAPMAN AVE, FULLERTON, CA 92831-4105
(714) 738-6902
(714) 738-0296
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8963TL
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
8963TL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT 8963 TPL
OPTOMETRY LICENSE #
CA
05
—
SD0089630
—
CA
Enumeration date
07/13/2006
Last updated
09/11/2025
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