Provider Demographics
NPI:1265570022
Name:KONAKOWITZ, JAMES D
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:KONAKOWITZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27013 LANGSIDE AVE
Mailing Address - Street 2:H
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-2557
Mailing Address - Country:US
Mailing Address - Phone:661-251-5578
Mailing Address - Fax:
Practice Address - Street 1:27013 LANGSIDE AVE
Practice Address - Street 2:H
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-2557
Practice Address - Country:US
Practice Address - Phone:661-251-5578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0594122811R1247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other