Provider Demographics
NPI:1104955780
Name:JAMES K. KURATA, O.D. A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:JAMES K. KURATA, O.D. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KEN
Authorized Official - Last Name:KURATA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:213-617-2020
Mailing Address - Street 1:420 E 3RD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-1645
Mailing Address - Country:US
Mailing Address - Phone:213-617-2020
Mailing Address - Fax:213-617-3184
Practice Address - Street 1:420 E 3RD ST STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1645
Practice Address - Country:US
Practice Address - Phone:213-617-2020
Practice Address - Fax:213-617-3184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 8098 TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOP8098Medicare ID - Type Unspecified
CAU72236Medicare UPIN