Jeffrey Michael Kotsubo in Santa Monica - Endodontics
Jeffrey Michael Kotsubo - NPI 1184834442
Jeffrey Michael Kotsubo is a Endodontics in Santa Monica, California. Jeffrey Michael Kotsubo practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jeffrey Michael Kotsubo is 1184834442. The last update date is 2007-07-08.
Jeffrey Michael Kotsubo's current location address is 1304 15th St, Santa Monica, California. You can contact this provider via phone number 3104586677. The mailing address for Jeffrey Michael Kotsubo is 1304 15th St, Santa Monica, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Michael Kotsubo |
|---|---|
| Address | 1304 15th St, Santa Monica, California |
| Phone Number | 3104586677 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1184834442 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1304 15th St |
|---|---|
| City | Santa Monica |
| State | California (CA) |
| Post Code | 904041809 |
| Phone Number | 3104586677 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 38439 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code issued to Jeffrey Michael Kotsubo by the Centers for Medicare & Medicaid Services?
The Jeffrey Michael Kotsubo has been assigned the NPI (National Provider Identifier) 1184834442 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jeffrey Michael Kotsubo is physically located?
The Jeffrey Michael Kotsubo is physically situated at the following address: 1304 15Th St, Santa Monica, CA, 904041809.
What is the Jeffrey Michael Kotsubo's area of specialization and corresponding taxonomy classification?
The Jeffrey Michael Kotsubo's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
On what date was the 1184834442 assigned to Jeffrey Michael Kotsubo?
The Jeffrey Michael Kotsubo was issued its 1184834442 on 2007-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jeffrey Michael Kotsubo most recently updated or revised?
The information pertaining to Jeffrey Michael Kotsubo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.