MEDICARE: KATIE KAMIKUBO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		CA

General Provider Information

NPI Number	:	1164368411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE KAMIKUBO

Provider Business Mailing Address
First Line	:	13882 JACKSON ST
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3348
Country	:	US
Telephone Number	:	714-661-4935
Fax Number	:

Provider Business Practice Location Address
First Line	:	13882 JACKSON ST
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-3348
Country	:	US
Telephone Number	:	714-661-4935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

Similar Medicare Providers

1235790197 — MIKAYLA A SMITH
Practice Location Address:

13950 MILTON AVE STE 306
WESTMINSTER, CA
92683-2939

Practice Phone: 714-793-1290
Practice Fax:

1346186749 — LE PEDIATRICS INC.
Practice Location Address:

9341 BOLSA AVE
WESTMINSTER, CA
92683-5928

Practice Phone: 714-894-9666
Practice Fax:

1164367082 — JUSTINE TRAN NGUYEN PT, DPT
Practice Location Address:

15902 MAYBROOK ST
WESTMINSTER, CA
92683-7239

Practice Phone: 714-262-5926
Practice Fax:

1427993344 — LEANNE PHAN PA-C
Practice Location Address:

7595 WESTMINSTER BLVD
WESTMINSTER, CA
92683-3919

Practice Phone: 714-897-3300
Practice Fax:

1851549232 — JOO YANG MD
Practice Location Address:

15464 GOLDENWEST ST.
WESTMINSTER, CA
92683

Practice Phone: 714-891-9008
Practice Fax: 714-897-7949

1598854739 — DR. THIEN DUC TRUONG DDS
Practice Location Address:

9600 BOLSA AVE STE E
WESTMINSTER, CA
92683-5949

Practice Phone: 714-839-9800
Practice Fax: 714-839-9894

Directions to “ KATIE KAMIKUBO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.