Individual
HENRY E KIKUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
180 OTAY LAKES RD, SUITE 201, BONITA, CA 91902-2400
(619) 267-9900
(619) 267-9910
Mailing address
180 OTAY LAKES RD, SUITE 201, BONITA, CA 91902-2400
(619) 267-9900
(619) 267-9910
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
13186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841406394
—
CA
Enumeration date
05/14/2007
Last updated
04/01/2013
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