Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | G75877 | CA |
NPI | 1104820927 |
---|---|
Provider Name | Erol M Kosar |
First Address | Torrance, CA 90505-5116 |
Second Address | Torrance, CA 90505-5116 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 09/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G758770 | (05) | CA |
E96595 | (02) | |
WG75877E | MEDICARE ID (01) | CA |