Kajioka, Keith David
Kajioka, Keith David is an individual health care provider with primary practice located at 809 Sylvan Ave Suite 103, Modesto CA 95350-1500. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kajioka, Keith David can be contacted via phone (209) 524-0100.Contact Information
Primary practice address
809 Sylvan Ave Suite 103
Modesto CA 95350-1500
Phone: (209) 524-0100
Fax: (209) 524-0596
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7974T | California |
Profile Details
| NPI number | 1053370825 |
|---|---|
| LBN Legal business name | Kajioka, Keith David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 23rd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053370825 | NPPES |
| California | MEDICAID | SD0079741 | |
| California | MEDICAID | SD0079740 |
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