Organization
CHARLENE V. KAKIMOTO, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRENA FERGUSON (OFFICE MANAGER)
(619) 437-1146
Entity
Organization
Contact information
Practice address
230 PROSPECT PL STE 260, CORONADO, CA 92118-1987
(619) 437-1146
Mailing address
230 PROSPECT PL STE 260, CORONADO, CA 92118-1987
(619) 437-1146
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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