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NPI Code Detail

MEDICARE: VANESSA KURIKI OD

MEDICARE: VANESSA KURIKI 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
1152W00000XOptometrist34830CA

General Provider Information

NPI Number : 1174196158
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA KURIKI OD
Provider Business Mailing Address
First Line : 3200 N SEPULVEDA BLVD STE E4
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2469
Country : US
Telephone Number : 310-546-5568
Fax Number : 310-544-5421
Provider Business Practice Location Address
First Line : 3200 N SEPULVEDA BLVD STE E4
Second Line :
City : MANHATTAN BEACH
State : CA
Zip : 90266-2469
Country : US
Telephone Number : 310-546-5568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2021
Last Update Date : 01/18/2022

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Directions to “ VANESSA KURIKI OD” Practice Location

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