Individual
DR. THEODORE KACZMAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 SAN JOSE ST, SALINAS, CA 93901-3901
(831) 424-0807
(831) 424-3408
Mailing address
1033 LOS PALOS DR, SALINAS, CA 93901-3916
(831) 757-2058
(831) 757-0232
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G546380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94170316793901A002
TRICARE
—
05
—
ZZZ70373Z
—
CA
Enumeration date
08/02/2006
Last updated
05/01/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us