Individual
IRENE KOGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
34 VAN NESS AVE, SAN FRANCISCO, CA 94102
(415) 431-3100
(415) 431-1010
Mailing address
34 VAN NESS AVE, SAN FRANCISCO, CA 94102
(415) 431-3100
(415) 431-1010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8765T
CA
Other
Enumeration date
02/14/2006
Last updated
03/09/2009
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