Provider Demographics
NPI:1932598364
Name:AKMD INC
Entity type:Organization
Organization Name:AKMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-721-0494
Mailing Address - Street 1:1441 AVOCADO AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7721
Mailing Address - Country:US
Mailing Address - Phone:949-721-0494
Mailing Address - Fax:949-721-4138
Practice Address - Street 1:35 E GLENARM ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3418
Practice Address - Country:US
Practice Address - Phone:626-768-4415
Practice Address - Fax:626-403-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1071342086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty