Igor Kozak, MD | |
Ucsd Shiley Eye Ctr, 9415 Campus Point Drive, 0946, La Jolla, CA 92093-0001 | |
(858) 534-8975 | |
(858) 534-7985 |
Full Name | Igor Kozak |
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Gender | Male |
Speciality | Ophthalmology |
Location | Ucsd Shiley Eye Ctr, La Jolla, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982982302 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | F5668 (California) | Primary |
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
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Igor Kozak, MD 7959 Caminito Dia, Unit 4, San Diego, CA 92122-1607 Ph: () - | Igor Kozak, MD Ucsd Shiley Eye Ctr, 9415 Campus Point Drive, 0946, La Jolla, CA 92093-0001 Ph: (858) 534-8975 |
David Scott Michelson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Ave, Suite 200, La Jolla, CA 92037 Phone: 858-457-3050 Fax: 858-457-0851 | |
Dr. Leah Levi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, Scripps Clinic Ms214, La Jolla, CA 92037 Phone: 858-554-7996 | |
Dr. Eric Leung, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 9415 Campus Point Dr, Mc 0946, La Jolla, CA 92093 Phone: 773-213-1110 | |
Dr. Jose Ivan Quiceno, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, Scmg Division Of Ophthalmology, La Jolla, CA 92037 Phone: 858-554-9108 | |
Dr. Robyn Grossman Cohen, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9834 Genesee Avenue, Suite 315, La Jolla, CA 92037 Phone: 858-457-4090 Fax: 858-457-1543 | |
Mr. Tomas M Grippo, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: Shiley Eye Center, 9415 Campus Point Drive, Rm 217 Mc 0946, La Jolla, CA 92093 Phone: 917-679-7782 | |
Shagun Kumari Bhatia, MD, MSCR Ophthalmology Medicare: Medicare Enrolled Practice Location: 9415 Campus Point Dr, La Jolla, CA 92093 Phone: 588-534-2020 |