Individual
DAVID KOKUBUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2575 YORBA LINDA BLVD, FULLERTON, CA 92831-1615
(714) 449-7400
Mailing address
1319 VISTA GRANDE, FULLERTON, CA 92835-2832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/22/2023
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