Michael G Kiyomoto Od

NPI #1730315201 in Berkeley, California

Provider Information

NPI Number: 1730315201
Entity Type: Organization
Organization Name: Michael G Kiyomoto Od
Primary Specialty: Optometrist
Enumeration Date: Jun 10, 2009
Last Updated: Jun 10, 2009

Practice Location

Address: 2035 SAN PABLO AVE
City: Berkeley
State: California
ZIP Code: 94702-1613
Phone: (510) 843-0721

Authorized Official

Name: MICHAEL G KIYOMOTO, OD
Title: OWNER
Phone: (510) 843-0721

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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