Komaiko, Mitchell S

Komaiko, Mitchell S is an individual health care provider with primary practice located at 8700 Beverly Blvd , West Hollywood CA 90048-1804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Komaiko, Mitchell S can be contacted via phone (310) 423-8000.

Contact Information

Primary practice address
8700 Beverly Blvd West Hollywood CA 90048-1804
Phone: (310) 423-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G16842 California

Profile Details

NPI number 1982730396
LBN Legal business name Komaiko, Mitchell S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Mar 7th, 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 1982730396 NPPES
California MEDICAID 00G168420
California Other RHL112025

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