Gordon K. Ota, O.d. a Professional Corporation
NPI #1871615146 in Fountain Valley, California
Provider Information
- NPI Number
- 1871615146
- Entity Type
- Organization
- Organization Name
- Gordon K. Ota, O.d. a Professional Corporation
- Primary Specialty
- Optometrist
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Sep 4, 2012
Practice Location
- Address
- 10130 WARNER AVE
- Address 2
- SUITE J
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-1619
- Phone
- (714) 965-5130
Authorized Official
- Name
- DR. GORDON K OTA, O.D.
- Title
- PRESIDENT
- Phone
- (714) 965-5130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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