Koyama, Sanford Gerry
Koyama, Sanford Gerry is an individual health care provider with primary practice located at 18430 Brookhurst St Ste 100, Fountain Valley CA 92708-6726. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Koyama, Sanford Gerry can be contacted via phone (714) 968-9121.Contact Information
Primary practice address
18430 Brookhurst St Ste 100
Fountain Valley CA 92708-6726
Phone: (714) 968-9121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT4979TPA | California |
Profile Details
| NPI number | 1346233798 |
|---|---|
| LBN Legal business name | Koyama, Sanford Gerry |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Jul 13th, 2010 - 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.
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