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NPI Code Detail

MEDICARE: BRITNEY KITAMATA-WONG OD

MEDICARE: BRITNEY KITAMATA-WONG 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
1152W00000XOptometristOPT 33492CA

General Provider Information

NPI Number : 1467804922
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITNEY KITAMATA-WONG OD
Provider Business Mailing Address
First Line : 490 ILLINOIS ST # 644
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94158-2510
Country : US
Telephone Number : 415-530-6123
Fax Number : 415-353-2654
Provider Business Practice Location Address
First Line : 490 ILLINOIS ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94158-2510
Country : US
Telephone Number : 415-530-6123
Fax Number : 415-353-2654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2016
Last Update Date : 02/25/2021

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Directions to “ BRITNEY KITAMATA-WONG OD” Practice Location

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