Individual
GLEN ISAMU KOMATSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6069 WOODFERN DR, RANCHO PALOS VERDES, CA 90275-2263
(310) 375-4585
(310) 375-1735
Mailing address
6069 WOODFERN DR, RANCHO PALOS VERDES, CA 90275-2263
(310) 375-4585
(310) 375-1735
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A35086
CA
Other
Enumeration date
08/13/2006
Last updated
09/07/2023
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