Doctor Name: | LINAS J KAZLAUSKAS |
NPI Number: | 1124002381 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G74679 |
Business Practice Address: | 36450 Inland Valley Dr Wildomar, CA - 925959583 |
Business Phone Number: | 9516960679 |
Business Fax Number: | 9516969748 |
Mailing Address: | Po Box 10050, MANHATTAN BEACH |
State: | CA |
Postal Code: | 902677550 |
Phone Number: | 3103354065 |
Fax Number: | 3103354098 |
NPI Enumeration Date: | 12/01/2005 |
NPI Last Update Date: | 10/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G74679 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |