MR. Ray S. Kusumoto, PA is a medical physician assistant in Hollister, CA. MR. Ray S. Kusumoto, PA NPI is 1194850800. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
890 SUNSET DR
SUITE A2
HOLLISTER, CA
ZIP 95023-651
Phone: (831) 636-3116
Fax: (831) 636-1204
The NPI 1194850800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/22/2007 and was last updated on 7/9/2007.