Organization
MICHAEL KAZAK MD INC
Active
Other names
Michael Kazak MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL K KAZAK M.D. (OWNER)
(805) 922-8269
Entity
Organization
Contact information
Practice address
1040 W MAIN ST, SANTA MARIA, CA 93458-4238
(805) 922-8269
(805) 349-9509
Mailing address
1040 W MAIN ST, SANTA MARIA, CA 93458-4238
(805) 922-8269
(805) 349-9509
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W22110
—
CA
Enumeration date
11/21/2007
Last updated
12/19/2023
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