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:
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Health care specialties

SpecialtyCodeLicense #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 16 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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