Individual
JOHN M KOOSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 GARDEN CT, MONTEREY, CA 93940-5302
(831) 646-8570
(831) 646-5435
Mailing address
30 GARDEN CT, MONTEREY, CA 93940-5302
(831) 646-8570
(831) 646-5435
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G75276
CA
207RP1001X
Pulmonary Disease Physician
Primary
G75276
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G75276
CA
Other
Enumeration date
05/12/2006
Last updated
05/19/2016
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