Provider Demographics
NPI:1598849820
Name:KATO, GUY KAZUO (OD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:KAZUO
Last Name:KATO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6309 GREENLEAF AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-3536
Mailing Address - Country:US
Mailing Address - Phone:562-698-3279
Mailing Address - Fax:562-698-8180
Practice Address - Street 1:6309 GREENLEAF AVE
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3536
Practice Address - Country:US
Practice Address - Phone:562-698-3279
Practice Address - Fax:562-698-8180
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8257T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0082570Medicaid
CA4138200001Medicare NSC
CASD0082570Medicaid
CAT70261Medicare UPIN