Individual
MICHAEL KOZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 BEVERLY BLVD # 8709, WEST HOLLYWOOD, CA 90048-1804
(310) 423-6941
Mailing address
905 BRUCE CT, LIBERTYVILLE, IL 60048-1602
(847) 508-5949
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20A21105
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2020
Last updated
07/17/2025
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