Individual
DR. LUIS I KOBASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 W STEWART DR, SUITE 402, ORANGE, CA 92868-3854
(714) 547-5741
(714) 547-5078
Mailing address
1310 W STEWART DR, SUITE 402, ORANGE, CA 92868-3854
(714) 547-5741
(714) 547-5078
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A21727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A212720
BLUE SHIELD
CA
05
—
00A217270
—
CA
01
—
340018013
RAILROAD MEDICARE
—
01
—
A21727
BLUE CROSS
CA
Enumeration date
12/19/2005
Last updated
07/07/2014
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