CHARLENE V. KAKIMOTO MD INC NPI 1083104012

NPI Information

  • NPI: 1083104012
  • Provider Name: CHARLENE V. KAKIMOTO, MD, INC
  • Classification: Dermatology - 207NI0002X
  • Specialization: Clinical & Laboratory Dermatological Immunology
  • Entity Type: Organization
  • Address: 230 PROSPECT PL STE 260
    CORONADO, CA
    ZIP 92118
  • Phone: (619) 437-1146

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NPI Details

CHARLENE V. KAKIMOTO, MD, INC is a clinical and laboratory dermatological immunology dermatology in Coronado, CA. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. CHARLENE V. KAKIMOTO, MD, INC NPI is 1083104012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

230 PROSPECT PL STE 260
CORONADO, CA
ZIP 92118-987
Phone: (619) 437-1146
Fax: (619) 437-1912

The provider's authorized official is Sirena Ferguson .
The authorized official title is Office Manager and has the following contact phone number (619) 437-1146.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 5/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyA82481CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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