Organization
KOSTURA OPTOMETRIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R KOSTURA II OD (PRESIDENT)
(949) 202-9935
Entity
Organization
Contact information
Practice address
21612 PLANO TRABUCO RD STE C, TRABUCO CANYON, CA 92679-3488
(949) 459-5687
(949) 459-5690
Mailing address
21612 PLANO TRABUCO RD STE C, TRABUCO CANYON, CA 92679-3488
(949) 459-5687
(949) 459-5690
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
10/12/2020
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