Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G045447 | CA |
N | 111NI0900X | Internist | G045447 | CA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | G45447 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | G045447 | CA |
NPI | 1467548073 |
---|---|
Provider Name | Dr. Jon A Kobashigawa |
First Address | Los Angeles, CA 90048-3311 |
Second Address | Los Angeles, CA 90048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 25/10/2019 |