Provider Demographics
NPI:1467928747
Name:EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:KAZUHIRO
Authorized Official - Last Name:KURATA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-680-1551
Mailing Address - Street 1:420 E 3RD ST STE 603
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-1645
Mailing Address - Country:US
Mailing Address - Phone:213-680-1551
Mailing Address - Fax:213-680-2148
Practice Address - Street 1:23441 MADISON ST STE 200
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4756
Practice Address - Country:US
Practice Address - Phone:310-504-3014
Practice Address - Fax:310-848-1358
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAST-WEST EYE INSTITUTE A MEDICAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty