| Doctor Name: | JUAN R KOJIMA |
| NPI Number: | 1033301528 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | PA19349 |
| Business Practice Address: | 2600 Via De La Valle Suite Del Mar, CA - 920141992 |
| Business Phone Number: | 8583093160 |
| Business Fax Number: | |
| Mailing Address: | 2600 Via De La Valle, Suite 200 DEL MAR |
| State: | CA |
| Postal Code: | 92014 |
| Phone Number: | 8583093160 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2007 |
| NPI Last Update Date: | 02/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA19349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |