Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kagan Kaczmar

Individual provider Athletic Trainer · NPI 1912564139

Kagan Kaczmar is an Athletic Trainer in Azusa, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

901 E Alosta Ave
Azusa, CA 91702-2701
Phone: (626) 969-3434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1912564139
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2019
Last updated in NPPESMay 22, 2019
Mailing address3811 Bluff Pl Apt 18, San Pedro, CA 90731-7024

Other providers in Azusa