MEDICARE: DR. KRISTY MARIA FIGUEROA OD

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	152W00000X	Optometrist	35899	CA

General Provider Information

NPI Number	:	1164232559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTY MARIA FIGUEROA OD

Provider Business Mailing Address
First Line	:	25200 LA PAZ RD STE 100
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5134
Country	:	US
Telephone Number	:	949-489-2218
Fax Number	:

Provider Business Practice Location Address
First Line	:	25200 LA PAZ RD STE 100
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5134
Country	:	US
Telephone Number	:	949-489-2218
Fax Number	:

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

Provider Enumeration Date	:	01/08/2025
Last Update Date	:	10/30/2025

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