CHARLES R. KOSSMAN M.D. INC. NPI 1932438637

NPI Information

  • NPI: 1932438637
  • Provider Name: CHARLES R. KOSSMAN, M.D., INC.
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Address: 5555 RESERVOIR DR
    #306
    SAN DIEGO, CA
    ZIP 92120
  • Phone: (619) 287-9910

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NPI Details

CHARLES R. KOSSMAN, M.D., INC. is a hematology and oncology internal medicine in San Diego, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CHARLES R. KOSSMAN, M.D., INC. NPI is 1932438637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5555 RESERVOIR DR
#306
SAN DIEGO, CA
ZIP 92120-134
Phone: (619) 287-9910
Fax: (619) 287-3526

The provider's authorized official is Charles Richard Kossman .
The authorized official title is President and has the following contact phone number (619) 287-9910.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 12/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & OncologyG28857CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G28857MEDICARE PINCALIFORNIA
21184799892OTHERCALIFORNIAMEDICARE INDIVIDUAL NPI
3CN538AOTHERCALIFORNIAMEDICARE GROUP PTAN
4CN534ZOTHERCALIFORNIAMEDICARE INDIVIDUAL PTAN
5A43885MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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