Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | D20890 | CA |
NPI | 1013049303 |
---|---|
Provider Name | Dr. Arthur Leo Kobal |
First Address | Thousand Oaks, CA 91360-5837 |
Second Address | Thousand Oaks, CA 91360-5837 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 08/07/2007 |