Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD00046940 | WA |
N | 207RH0003X | Hematology & Oncology | 1252 | NH |
Y | 207RH0003X | Hematology & Oncology | 80174 | CA |
NPI | 1265478697 |
---|---|
Provider Name | Andrew L. Kominsky |
First Address | Santa Maria, CA 93454-6917 |
Second Address | San Luis Obispo, CA 93401-7068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 07/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0236212 | L&I AND CRIME VICTIMS (01) | WA |
1265478697 | (05) | WA |
4465KO | REGENCE (01) | WA |
7297797 | AETNA (01) | WA |
H37759 | (02) | WA |