Glen I Komatsu M D A Professional Corporation in Rancho Palos Verdes - General Practice
Glen I Komatsu M D A Professional Corporation - NPI 1073734778
Glen I Komatsu M D A Professional Corporation is a General Practice in Rancho Palos Verdes, California. Glen I Komatsu M D A Professional Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glen I Komatsu M D A Professional Corporation is 1073734778. The last update date is 2023-09-07.
Glen I Komatsu M D A Professional Corporation's current location address is 6069 Woodfern Dr, Rancho Palos Verdes, California. You can contact this provider via phone number 3105459713 and fax number 3105461648. The mailing address for Glen I Komatsu M D A Professional Corporation is 6069 Woodfern Dr, Rancho Palos Verdes, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glen I Komatsu M D A Professional Corporation |
|---|---|
| Address | 6069 Woodfern Dr, Rancho Palos Verdes, California |
| Phone Number | 3105459713 |
| Fax Number | 3105461648 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Komatsu I Glen |
| Credentials | MD |
| Telephone Number | 3103754585 |
NPI Number Detail
| NPI Number | 1073734778 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2023-09-07 |
Provider Mailing Address Detail
| Address | 6069 Woodfern Dr |
|---|---|
| City | Rancho Palos Verdes |
| State | California (CA) |
| Post Code | 902752263 |
| Phone Number | 3105459713 |
| Fax Number | 3105461648 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Glen I Komatsu M D A Professional Corporation by the Centers for Medicare & Medicaid Services?
The Glen I Komatsu M D A Professional Corporation has been assigned the NPI (National Provider Identifier) 1073734778 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 Glen I Komatsu M D A Professional Corporation is physically located?
The Glen I Komatsu M D A Professional Corporation is physically situated at the following address: 6069 Woodfern Dr, Rancho Palos Verdes, CA, 902752263.
What is the area of specialization for Glen I Komatsu M D A Professional Corporation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glen I Komatsu M D A Professional Corporation is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073734778 to Glen I Komatsu M D A Professional Corporation?
The Centers for Medicare & Medicaid Services assigned the 1073734778 to Glen I Komatsu M D A Professional Corporation on 2007-05-01.
As of what date was the information pertaining to Glen I Komatsu M D A Professional Corporation, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Glen I Komatsu M D A Professional Corporation, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-09-07.