Individual ProviderThomas KozakEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address10666 N Torrey Pines Rd, La Jolla, CA 92037-1027(858) 554-8638(858) 554-9100PECOS EnrollmentBased on the most recent information from CMS, provider Thomas Kozak 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 ID1629085154Provider TypeIndividualFull NameKozak, ThomasCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/1/2006Last Updated3/17/2017Contact InformationPractice LocationPractice Address10666 N Torrey Pines Rd, La Jolla, CA 92037-1027Phone(858) 554-8638FaxUnlisted FaxMailing LocationMailing Address10790 Rancho Bernardo Rd, San Diego, CA 92127-5705Phone(858) 554-9100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseG78081California