Kostura, Michael Richard

Kostura, Michael Richard is an individual health care provider with primary practice located at 21612 Plano Trabuco Rd Ste C , Trabuco Canyon CA 92679-3488. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kostura, Michael Richard can be contacted via phone (949) 459-5687.

Contact Information

Primary practice address
21612 Plano Trabuco Rd Ste C Trabuco Canyon CA 92679-3488
Fax: (949) 459-5690
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12316T California

Profile Details

NPI number 1700913829
LBN Legal business name Kostura, Michael Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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