Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN ISAMU KOMATSU, M.D.
Active Sole ProprietorGLEN ISAMU KOMATSU, M.D. is a Vascular Surgery healthcare provider located in RANCHO PALOS VERDES, California. NPI 1114939394 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · RANCHO PALOS VERDES, CA
Registration Details
- NPI Number
- 1114939394
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 13, 2006 (20.031236638668 yrs)
- Last Updated
- Sep 7, 2023
- License
-
A35086 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6069 WOODFERN DRRANCHO PALOS VERDES, CA, 902752263Browse CA providers · Browse ZIP 90275
- Phone
- 3103754585
- Fax
- 3103751735
- Primary Specialty
-
Vascular Surgery
208VP0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.