Kooba, Austin M.

Kooba, Austin M. is an individual health care provider with primary practice located at 330 S Magnolia Ave Ste 301 , El Cajon CA 92020-5224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kooba, Austin M. can be contacted via phone (858) 353-3945.

Contact Information

Primary practice address
330 S Magnolia Ave Ste 301 El Cajon CA 92020-5224
Phone: (858) 353-3945
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A71262 California

Profile Details

NPI number 1982756102
LBN Legal business name Kooba, Austin M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Apr 5th, 2024 - about 5 months ago

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 1982756102 NPPES
California MEDICAID 00A712620

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