KOICHI SHUN KUNITAKE

TWENTYNINE PALMS, CA
NPI1689837510
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  118976)
Enumeration Date2008-07-10
Last Update Date2024-07-26
Business Address
KOICHI SHUN KUNITAKE
1145 STURGIS RD
TWENTYNINE PALMS, CA 92278
Phone number: 760-830-2722
Mailing Address
KOICHI SHUN KUNITAKE
3525 DEL MAR HEIGHTS RD # 1987
SAN DIEGO, CA 92130-2199
Phone number: 858-245-2353