Kazak, Michael

Kazak, Michael is an individual health care provider with primary practice located at 1040 W Main St , Santa Maria CA 93458. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kazak, Michael can be contacted via phone (805) 922-8269.

Contact Information

Primary practice address
1040 W Main St Santa Maria CA 93458
Phone: (805) 922-8269
Fax: (805) 349-9509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A43888 California

Profile Details

NPI number 1285732636
LBN Legal business name Kazak, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 24th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285732636 NPPES
California MEDICAID GR0050690

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