Kozak, Richard Joseph
Kozak, Richard Joseph is an sole proprietor health care provider with primary practice located at 27700 Medical Center Rd , Mission Viejo CA 92691-6426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kozak, Richard Joseph can be contacted via phone (949) 309-8434.Contact Information
Primary practice address
27700 Medical Center Rd
Mission Viejo CA 92691-6426
Phone: (949) 309-8434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G75758 | California |
Profile Details
| NPI number | 1457380107 |
|---|---|
| LBN Legal business name | Kozak, Richard Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jan 25th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457380107 | NPPES |
| California | MEDICAID | 00G757580 |
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