Individual
MICHAEL KAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 W MAIN ST, SANTA MARIA, CA 93458
(805) 922-8269
(805) 349-9509
Mailing address
1040 W MAIN ST, SANTA MARIA, CA 93458
(805) 922-8269
(805) 349-9509
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A43888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050690
—
CA
Enumeration date
09/20/2006
Last updated
11/24/2023
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