SearchCalifornia106S00000X

Kosmos Heretic

NPI 1174216741 · on the registry since 2023

Practice

Address
321 Van Houten Ave
El Cajon, CA 92020
Phone
(855) 223-7123
Clinicians at this address
206

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Male
Record last updated
2023-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California