Marutani, Joel Kenji
Marutani, Joel Kenji is an sole proprietor health care provider with primary practice located at 12432 Brookhurst St , Garden Grove CA 92840. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Marutani, Joel Kenji can be contacted via phone (714) 530-2020.Contact Information
Primary practice address
12432 Brookhurst St
Garden Grove CA 92840
Phone: (714) 530-2020
Fax: (714) 537-8297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8277 | California |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8277T | California |
Profile Details
| NPI number | 1619025624 |
|---|---|
| LBN Legal business name | Marutani, Joel Kenji |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Nov 30th, 2021 - about 3 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 | 1619025624 | NPPES |
| California | MEDICAID | SD0082770 |
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