Individual
SARA RACHAEL KOSSUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6520 PLATT AVENUE, SUITE 513, WEST HILLS, CA 91307
(310) 490-7759
(818) 887-2285
Mailing address
6520 PLATT AVENUE, SUITE 513, WEST HILLS, CA 91307
(310) 490-7759
(818) 887-2285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A8025
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20A8025
CA
207RP1001X
Pulmonary Disease Physician
Primary
20A8025
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
20A8025
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18555
MEDICARE GROUP NUMBER
CA
Enumeration date
11/22/2005
Last updated
04/13/2011
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