Organization
DR CARRIE R KUBOTA & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARRIE R KUBOTA OD (OWNER DR)
(805) 577-9177
Entity
Organization
Contact information
Practice address
1197 D E LOS ANGELES AVE, SIMI VALLEY, CA 93065
(805) 577-9177
(805) 527-8220
Mailing address
1197 D E LOS ANGELES AVE, SIMI VALLEY, CA 93065
(805) 577-9177
(805) 527-8220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT9907TPA
CA
Other
Enumeration date
04/27/2006
Last updated
08/22/2020
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