{
"Npi": {
"NPI": "1962954792",
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MITSUAKI DAVID KATO, O.D., INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "12040 HAMMACK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CULVER CITY",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90230-5922",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-266-3155",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6000 SEPULVEDA BLVD STE 1680",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CULVER CITY",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90230-6429",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-390-2142",
"PracticeLocationAddressFaxNumber": "310-397-5306",
"EnumerationDate": "10/27/2016",
"LastUpdateDate": "10/27/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KATO",
"AuthorizedOfficialFirstName": "MITSUAKI",
"AuthorizedOfficialMiddleName": "DAVID",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "O.D.",
"AuthorizedOfficialTelephoneNumber": "310-266-3155",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "152W00000X",
"TaxonomyName": "Optometrist",
"LicenseNumber": "10896T",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}