OrganizationActive
Charlene V. Kakimoto, MD, Inc
NPI 1083104012 · Clinical & Laboratory Dermatological Immunology Physician · Coronado, CA
Provider details
- NPI number
- 1083104012
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Dermatological Immunology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Sirena Ferguson, Office Manager
- License
- A82481 (CA)
Practice location
230 Prospect Pl Ste 260
Coronado, CA 92118-1987
Phone: (619) 437-1146
Fax: (619) 437-1912
Mailing address
230 Prospect Pl Ste 260
Coronado, CA 92118-1987
Registry dates
- Enumerated
- 2018-05-15
- Last updated
- 2018-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.