Jennifer R Kosova, PAC

NPI #1083636203 in Santa Monica, California

Provider Information

NPI Number: 1083636203
Entity Type: Individual
Name: Jennifer R Kosova, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jul 24, 2006
Last Updated: Sep 18, 2020

Practice Location

Address: 1328 22ND STREET
Address 2: ER
City: Santa Monica
State: California
ZIP Code: 90404
Phone: (214) 455-5366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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