Kevin Jiro Komatsu in Los Angeles - General Practice
Kevin Jiro Komatsu - NPI 1497943237
Kevin Jiro Komatsu is a General Practice in Los Angeles, California. Kevin Jiro Komatsu practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Jiro Komatsu is 1497943237. The last update date is 2007-10-05.
Kevin Jiro Komatsu's current location address is 10584 W Pico Blvd, Los Angeles, California. You can contact this provider via phone number 3108372000 and fax number 3108377953. The mailing address for Kevin Jiro Komatsu is 10584 W Pico Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Jiro Komatsu |
|---|---|
| Address | 10584 W Pico Blvd, Los Angeles, California |
| Phone Number | 3108372000 |
| Fax Number | 3108377953 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1497943237 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 10584 W Pico Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900642332 |
| Phone Number | 3108372000 |
| Fax Number | 3108377953 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 42170 |
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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. |
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What is the unique 10-digit identification code issued to Kevin Jiro Komatsu by the Centers for Medicare & Medicaid Services?
The Kevin Jiro Komatsu has been assigned the NPI (National Provider Identifier) 1497943237 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kevin Jiro Komatsu is physically located?
The Kevin Jiro Komatsu is physically situated at the following address: 10584 W Pico Blvd, Los Angeles, CA, 900642332.
What is Kevin Jiro Komatsu's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Jiro Komatsu is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Kevin Jiro Komatsu receive its 1497943237 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Jiro Komatsu was assigned its 1497943237 on 2007-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kevin Jiro Komatsu, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Jiro Komatsu, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-05.
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