Koji Kubo is a Family Medicine in San Bernardino, California. Koji Kubo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Koji Kubo is 1295745180. The last update date is 2011-03-07.
Koji Kubo's current location address is Po Box 10968, San Bernardino, California. You can contact this provider via phone number 8059888058 and fax number 8059830803. The mailing address for Koji Kubo is Po Box 10968, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Koji Kubo |
|---|---|
| Address | Po Box 10968, San Bernardino, California |
| Phone Number | 8059888058 |
| Fax Number | 8059830803 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295745180 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2011-03-07 |
Provider Mailing Address Detail
| Address | Po Box 10968 |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924230968 |
| Phone Number | 8059888058 |
| Fax Number | 8059830803 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A95628 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295745180 | CA | -- | |
| 1831365667 | CA | -- | |
| ZZZ50355Y | CA | BS/TRIWEST | |
| 00A956280 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Koji Kubo?
The Koji Kubo has been issued the NPI (National Provider Identifier) 1295745180 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Koji Kubo is geographically located?
The Koji Kubo is physically situated at the following location: Po Box 10968, San Bernardino, CA, 924230968.
What is Koji Kubo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Koji Kubo is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Koji Kubo receive its 1295745180 assignment from the Centers for Medicare & Medicaid Services?
The Koji Kubo was assigned its 1295745180 by the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the information related to Koji Kubo most recently updated or refreshed?
The details pertaining to the Koji Kubo, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-07.