Individual
DR. JON A KOBASHIGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
127 S SAN VICENTE BLVD # A3107, LOS ANGELES, CA 90048
(310) 248-3830
(310) 248-8338
Mailing address
127 S SAN VICENTE BLVD # A3107, LOS ANGELES, CA 90048-3311
(310) 248-3830
(310) 248-8338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G045447
CA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
G45447
CA
207RC0000X
Cardiovascular Disease Physician
G045447
CA
Other
Enumeration date
10/04/2006
Last updated
10/25/2019
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