Kosal Kom is a General Practice in Long Beach, California. Kosal Kom practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kosal Kom is 1710034566. The last update date is 2007-07-08.
Kosal Kom's current location address is 2338 E Anaheim St, Long Beach, California. You can contact this provider via phone number 5624349980. The mailing address for Kosal Kom is 2338 E Anaheim St, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kosal Kom |
|---|---|
| Address | 2338 E Anaheim St, Long Beach, California |
| Phone Number | 5624349980 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1710034566 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2338 E Anaheim St |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908045730 |
| Phone Number | 5624349980 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 41442 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Post Comment/ Review Below
What is the Kosal Kom's 1710034566?
The Kosal Kom's NPI (National Provider Identifier) Number is 1710034566. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kosal Kom is geographically located?
The Kosal Kom is physically situated at the following location: 2338 E Anaheim St, Long Beach, CA, 908045730.
What is Kosal Kom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kosal Kom is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Kosal Kom receive the assignment of its 1710034566 from the Centers for Medicare & Medicaid Services?
The Kosal Kom was issued its 1710034566 by the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the Kosal Kom's information last updated?
The Kosal Kom's information was last updated on 2007-07-08.