person
Mr. Ray S. Kusumoto, PA
Medical Physician Assistant in Hollister, California
NPI 1194850800

Ray S. Kusumoto is a Medical Physician Assistant based in Hollister, CA and is specialized in Medical. Ray S. Kusumoto practices in Hollister, CA and has the professional credentials of PA. The NPI Number for Ray S. Kusumoto is 1194850800 and holds a License No. PA13954 (California).

The current practice location address for Ray S. Kusumoto is 890 Sunset Dr, Hollister, CA and can be reached out via phone at 831-636-3116 and via fax at 831-636-1204.

Location: 890 Sunset Dr, Hollister, CA, 95023-5621
person
Provider Profile Details
NPI Number
1194850800
Provider Name
Ray S. Kusumoto
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
890 Sunset Dr, Hollister, CA, 95023-5621
Phone Number
831-636-3116
Fax Number
831-636-1204
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
890 Sunset Dr
City
State
Zip
95023-5651
Phone Number
831-636-3116
Fax Number
831-636-1204
person
Provider Business Mailing Address Details
Address
890 Sunset Dr
City
State
Zip
95023-5651
Phone Number
831-636-3116
Fax Number
831-636-1204
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA13954 (California)
Definition
Definition to come...
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