Organization
JAMES JACK KOHAN MD LLC
Active
Organization
JAMES JACK KOHAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL KOHAN MD (PRESIDENT)
(808) 352-2501
Entity
Organization
Contact information
Practice address
2658 DEL MAR HEIGHTS RD, #358, DEL MAR, CA 92014-3100
(808) 352-2501
(858) 755-3758
Mailing address
PO BOX 700309, KAPOLEI, HI 96709-0309
(808) 203-7943
(808) 693-8060
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD13365
HI
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD13365
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000291385
HMSA
HI
05
—
569337-02
—
HI
Enumeration date
02/09/2010
Last updated
10/17/2012
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