Provider Demographics
NPI:1285637702
Name:KARTSONIS, LOUIS P (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:P
Last Name:KARTSONIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4747 MISSION BLVD
Mailing Address - Street 2:STE 5
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-2541
Mailing Address - Country:US
Mailing Address - Phone:858-581-3838
Mailing Address - Fax:858-581-3333
Practice Address - Street 1:4747 MISSION BLVD
Practice Address - Street 2:STE 5
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-2541
Practice Address - Country:US
Practice Address - Phone:858-581-3838
Practice Address - Fax:858-581-3333
Is Sole Proprietor?:No
Enumeration Date:2005-05-30
Last Update Date:2010-02-23
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Provider Licenses
StateLicense IDTaxonomies
CAG37754207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G377540Medicaid
CAA47219Medicare UPIN
CA00G377540Medicaid