DR. Carrie R Kubota, O.D.

NPI #1356577217 in Simi Valley, California

Provider Information

NPI Number: 1356577217
Entity Type: Individual
Name: DR. Carrie R Kubota, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 5, 2009
Last Updated: Jun 5, 2009

Practice Location

Address: 1197 E LOS ANGELES AVE STE D
City: Simi Valley
State: California
ZIP Code: 93065-2868
Phone: (805) 577-9177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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