Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPT7239TPL | CA |
NPI | 1003932237 |
---|---|
Provider Name | Dr. Val A Kask |
First Address | Northridge, CA 91324-3031 |
Second Address | Northridge, CA 91324-3031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 11/04/2014 |