DR. Gordon Kiyoshi Ota, O.D.
NPI #1154392470 in Fountain Valley, California
Provider Information
- NPI Number
- 1154392470
- Entity Type
- Individual
- Name
- DR. Gordon Kiyoshi Ota, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Jan 27, 2006
- Last Updated
- Sep 5, 2012
Practice Location
- Address
- 10130 WARNER AVE
- Address 2
- SUITE J
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-1619
- Phone
- (714) 965-5130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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