Healthcare Provider Details

I. General information

NPI: 1053500439
Provider Name (Legal Business Name): STEVEN ROBERT KOZEL PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2007
Last Update Date: 10/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 WESTWOOD PLAZA
LOS ANGELES CA
90095-0001
US

IV. Provider business mailing address

6518 SMOKE TREE AVE
OAK PARK CA
91377-1219
US

V. Phone/Fax

Practice location:
  • Phone: 310-206-6425
  • Fax: 310-267-2014
Mailing address:
  • Phone: 818-991-7530
  • Fax: 818-991-7570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRPH36698
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: