Organization
KOHARAEYE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUNICE MAYA KOHARA DO (PRESIDENT)
(323) 682-0289
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE STE 104, CULVER CITY, CA 90232-6834
(323) 682-0289
(855) 538-9401
Mailing address
8605 SANTA MONICA BLVD # 69638, LOS ANGELES, CA 90069-4109
(323) 682-0289
(855) 538-9401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
Other
Enumeration date
01/03/2018
Last updated
09/03/2024
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