Komatsu, Glen Isamu

Komatsu, Glen Isamu is an sole proprietor health care provider with primary practice located at 6069 Woodfern Dr , Rancho Palos Verdes CA 90275-2263. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Komatsu, Glen Isamu can be contacted via phone (310) 375-4585.

Contact Information

Primary practice address
6069 Woodfern Dr Rancho Palos Verdes CA 90275-2263
Phone: (310) 375-4585
Fax: (310) 375-1735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X A35086 California

Profile Details

NPI number 1114939394
LBN Legal business name Komatsu, Glen Isamu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2006
Last updated Sep 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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