Lily Kozakowski, DO
General Practice in Oceanside, CA. Individual provider (NPI-1).
NPI number1104671981
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1104671981
- Entity type
- Individual (NPI-1)
- Name
- Lily Kozakowski
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2024
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 102209651 | VA | Yes |
Practice location
200 Mercy CirOceanside, CA 92055
Phone 760-725-1288
Mailing address
200 Mercy CirOceanside, CA 92055
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