Individual
KEVIN EUGENE KUMAGAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3887
(951) 784-5568
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3887
(951) 784-5568
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU2578
AUDIOLOGY LICENSE
CA
01
—
ZZZ92058Z
SITE LOCATION
CA
Enumeration date
02/18/2008
Last updated
04/14/2025
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