Individual
DR. CLIFFORD M HITOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
525 N AZUSA AVE, COVINA, CA 91722-3502
(626) 967-2495
Mailing address
525 N AZUSA AVE, COVINA, CA 91722-3502
(626) 967-2495
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
021167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0082500
—
CA
Enumeration date
09/28/2006
Last updated
07/08/2007
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