Kenneth Urriquia, O.D. Valid NPI
Individual provider · Optometrist · Rancho Cucamonga, CA
- NPI
- 1992164420
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 14899TLG (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-02-11
- Last updated
- 2016-02-11
Practice location
8250 Day Creek Blvd
Rancho Cucamonga, CA 91739-8550
(909) 646-7102