Provider Demographics
NPI:1326451600
Name:KURIHARA, JANIS IRENE (OD)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:IRENE
Last Name:KURIHARA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:JANIS
Other - Middle Name:KURIHARA
Other - Last Name:KOSMALA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:24100 EL TORO RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-3129
Mailing Address - Country:US
Mailing Address - Phone:949-586-8980
Mailing Address - Fax:949-586-0624
Practice Address - Street 1:24100 EL TORO RD
Practice Address - Street 2:SUITE C
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-3129
Practice Address - Country:US
Practice Address - Phone:949-586-8980
Practice Address - Fax:949-586-0624
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9282T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist