Individual
JOSEPH JOHN KOSMACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(619) 294-4119
(619) 295-5044
Mailing address
7850 VISTA HILL AVE, SAN DIEGO, CA 92123-2717
(619) 294-4119
(619) 295-5044
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A16558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A16558
MEDICAL LICENSE
CA
Enumeration date
05/30/2013
Last updated
03/18/2019
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