Dr Carrie R Kubota & Associates
Optometrist in Simi Valley, CA. Organization (NPI-2).
NPI number1609833367
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1609833367
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Carrie R Kubota & Associates
- Organization subpart
- No
- Enumeration date
- Apr 27, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT9907TPA | CA | Yes |
Practice location
1197 D E Los Angeles AveSimi Valley, CA 93065
Phone 805-577-9177 · Fax 805-527-8220
Mailing address
1197 D E Los Angeles AveSimi Valley, CA 93065
Phone 805-577-9177 · Fax 805-527-8220
Authorized official
Carrie R Kubota
Owner Dr
8055779177
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