Provider Demographics
NPI:1992777585
Name:GOYA, DEBBIE MITSUKO (OD)
Entity type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:MITSUKO
Last Name:GOYA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 W ARTESIA BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504
Mailing Address - Country:US
Mailing Address - Phone:310-327-4878
Mailing Address - Fax:310-327-0467
Practice Address - Street 1:2202 W ARTESIA BLVD
Practice Address - Street 2:STE A
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504
Practice Address - Country:US
Practice Address - Phone:310-327-4878
Practice Address - Fax:310-327-0467
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10024T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist