Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 41016 | CA |
NPI | 1063574390 |
---|---|
Provider Name | Dr. Kami Hoss |
First Address | Chula Vista, CA 91915-1000 |
Second Address | Chula Vista, CA 91915-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 13/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273076558 | ORTHODONTISTS (01) | CA |
810569380 | ORTHODONTISTS (01) | CA |