Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL RICHARD KOSTURA II, O.D.
ActiveDR. MICHAEL RICHARD KOSTURA II, O.D. is a Optometrist healthcare provider located in TRABUCO CANYON, California. NPI 1700913829 is currently active in the NPPES registry. Verify at CMS.
Optometrist · TRABUCO CANYON, CA
Registration Details
- NPI Number
- 1700913829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.279486110041 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12316T (CA)
Practice Information
- Address
-
21612 PLANO TRABUCO RD STE CTRABUCO CANYON, CA, 926793488Browse CA providers · Browse ZIP 92679
- Phone
- 9494595687
- Fax
- 9494595690
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in TRABUCO CANYON, CA
| Name | Credential | NPI |
|---|---|---|
| DR. SONIA KIM KOSTURA | O.D. | 1598892630 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.