MEDICARE: DR. LOUIS P KARTSONIS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	G37754	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285637702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS P KARTSONIS M.D.

Provider Business Mailing Address
First Line	:	4747 MISSION BLVD
Second Line	:	STE 5
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-2541
Country	:	US
Telephone Number	:	858-581-3838
Fax Number	:	858-581-3333

Provider Business Practice Location Address
First Line	:	4747 MISSION BLVD
Second Line	:	STE 5
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-2541
Country	:	US
Telephone Number	:	858-581-3838
Fax Number	:	858-581-3333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2005
Last Update Date	:	02/23/2010

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Directions to “ DR. LOUIS P KARTSONIS M.D.” Practice Location

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