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Organization

JEFF KAKU, O.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFERY HITOSHI KAKU O.D. (PRESIDENT)
(714) 738-6902
Entity
Organization

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
Primary
8963TL
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SD0089630
CA
Enumeration date
03/23/2006
Last updated
03/07/2023
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