Individual
DR. DANIEL KOSOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACS FRCSC
Contact information
Practice address
7901 FROST ST, SAN DIEGO, CA 92123-2701
(858) 939-3400
Mailing address
9889 GRADUATE DRIVEWAY STE 1-403, SAN DIEGO, CA 92131-2510
(858) 353-5561
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A60375
CA
208600000X
Surgery Physician
Primary
A60375
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE226Y
MEDICARE PTAN (BALBOA NEPHROLOGY MEDICAL GROUP)
CA
Enumeration date
02/16/2007
Last updated
11/24/2019
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