# JOSEPH KOSMACH DO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOSEPH KOSMACH DO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154964021
- **Authorized official:** DR. JOSEPH J KOSMACH D.O. (DOCTOR)
- **Authorized official phone:** (619) 294-4119

## Contact information

- **Practice address:** 7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
- **Practice address phone:** (619) 294-4119
- **Practice address fax:** (619) 205-5044
- **Mailing address:** PO BOX 712888, SAN DIEGO, CA 92171-2888
- **Mailing address phone:** (619) 294-4119
- **Mailing address fax:** (619) 295-5044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2019
- **Last updated:** 10/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1801233911 | — | CA |