Individual
DR. DANIEL STEVEN KOZICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-7400
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-7400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102205011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102205011
—
VA
Enumeration date
05/09/2016
Last updated
10/08/2025
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