DR. Michael Richard Kostura II, O.D.

NPI #1700913829 in Trabuco Canyon, California

Provider Information

NPI Number: 1700913829
Entity Type: Individual
Name: DR. Michael Richard Kostura II, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 21612 PLANO TRABUCO RD STE C
City: Trabuco Canyon
State: California
ZIP Code: 92679-3488
Phone: (949) 459-5687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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