Individual
HUMAN KOTOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 495-2012
(858) 565-0507
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 495-2012
(805) 642-8564
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A87501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A875010
—
CA
Enumeration date
01/25/2007
Last updated
03/28/2022
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