Individual ProviderDaniel KozmanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1245 16th St Ste 125, Santa Monica, CA 90404-1240(310) 315-8900PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Kozman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1184068470Provider TypeIndividualFull NameKozman, DanielCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/17/2013Last Updated8/30/2019Contact InformationPractice LocationPractice Address1245 16th St Ste 125, Santa Monica, CA 90404-1240Phone(310) 315-8900Fax(310) 315-8902Mailing LocationMailing Address5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA133024CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA133024California