Individual
DR. JARED KOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
1484 VIA LATINA DR, CAMARILLO, CA 93012-9288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT34339-TLG
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2019
Last updated
12/08/2021
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