| Joseph Kosmach Do Pc | |
|
7850 Vista Hill Ave San Diego CA 92123-2717 | |
| (619) 294-4119 | |
| (619) 205-5044 |
| Full Name | Joseph Kosmach Do Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7850 Vista Hill Ave, San Diego, California |
| Authorized Official Name and Position | Joseph J Kosmach (DOCTOR) |
| Authorized Official Contact | 6192944119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Kosmach Do Pc Po Box 712888 San Diego CA 92171-2888 Ph: (619) 294-4119 | Joseph Kosmach Do Pc 7850 Vista Hill Ave San Diego CA 92123-2717 Ph: (619) 294-4119 |
| NPI Number | 1154964021 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 10/23/2019 |
| Medicare PECOS PAC ID | 2860828290 |
|---|---|
| Medicare Enrollment ID | O20200204000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154964021 | NPI | - | NPPES |
| 1801233911 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Joseph J Kosmach |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801233911 PECOS PAC ID: 2668611278 Enrollment ID: I20180820003372 |
| Provider Name | Brandon Michael Niemeier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255622338 PECOS PAC ID: 8921253584 Enrollment ID: I20190617000289 |
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