Individual
JAMES M KOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 N ELM ST, ESCONDIDO, CA 92025-3002
(760) 737-6960
Mailing address
425 N DATE ST, ESCONDIDO, CA 92025-3413
(760) 737-6960
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C54757
CA
207RP1001X
Pulmonary Disease Physician
Primary
C54757
CA
207RP1001X
Pulmonary Disease Physician
MD-13365
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E0252881
HMSA
HI
05
—
569337-02
—
HI
01
—
W14158
MEDICARE GROUP PTAN
CA
Enumeration date
01/25/2007
Last updated
02/14/2024
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