Lynn Watt Kurata Od, Faao Inc

NPI 1063500619

Information of Lynn Watt Kurata Od, Faao Inc

The NPI 1063500619 is an Organization type. NPI No 1063500619 belongs to Lynn Watt Kurata Od, Faao Inc. Lynn Watt Kurata Od, Faao Inc specializes in Optometrist. is practising at 1950 Sawtelle Blvd, Los Angeles, California 90025. You can also contact him via phone number (310) 453-0489.

Practice address located

  • 1950 Sawtelle Blvd
  • Los Angeles, California 90025
  • (310) 453-0489
  • (310) 453-0489

Mailling address located

  • 1950 Sawtelle Blvd
  • Los Angeles, California 90025
  • Not available
  • (310) 453-0886
NPI No 1063500619
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
n/a152W00000XOptometristOP7676TCalifornia
n/a152WC0802XCorneal and Contact ManagementOP7676TCalifornia
n/a152WL0500XLow Vision RehabilitationOP7676TCalifornia
Identifier for this provider
StateIdentifierTypeIssuer
CAOP7676Medicare ID-Type Unspecifiedn/a
CAOP7676AMedicare ID-Type Unspecifiedn/a
CAOP7676BMedicare ID-Type Unspecifiedn/a
CASD0076760Medicaidn/a
CASD0076761Medicaidn/a
CASD76762Medicaidn/a
CASD76763Medicaidn/a
CAU38000Medicare UPINn/a
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