MR. DOMINIC E. B. KOH (NPI# 1487657029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487657029 |
| Entity Type | Individual |
| Full Name | MR. DOMINIC E. B. KOH |
| Credential | CPNP, ANP-C |
| Practice Address |
1530 Hillhurst Ave Los Angeles CA 90027-5516 |
| Mailing Address |
2571 Rochelle Ave Monrovia CA 91016-4941 |
| Practice Telephone | 3236443880 |
| Practice Fax Number | 3236443892 |
| Mailing Telephone | 6263033950 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2010-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN476192, NPF 85 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN476192, NPF 85 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1530 HILLHURST AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90027-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417507831 | Jennifer Iliana Gomez | Dietitian, Registered | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2019-09-17 |
| 1619254265 | Wei Min Chan | Physician Assistant | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2011-11-10 |
| 1235430018 | Mark Kurzman | Family Medicine | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2010-11-09 |
| 1184931263 | Phyllis Daisy Woo | Nurse Practitioner | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2010-09-09 |
| 1174753784 | Patarapha Wongsaroj | Internal Medicine | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2009-07-16 |
| 1457598716 | Suvannee Vidhyapum | Obstetrics & Gynecology | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2009-01-08 |
| 1982858031 | Yulia Neyman | Family Medicine | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2008-11-14 |
| 1538317730 | Lena Al-sarraf | Family Medicine | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2008-09-03 |
| 1578737995 | Veronica Castillo | Physician Assistant | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2008-04-16 |
| 1467634022 | Cindy Wing-san Chu | Nurse Practitioner | 1530 Hillhurst Ave, Los Angeles, CA 90027-5516 | 2007-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1285242594 | Rocio Jimenez | Case Manager/Care Coordinator | 4650 Sunset Blvd, Mailstop #53, Los Angeles, CA 90027 | 2020-07-22 |
| 1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
| 1104450295 | Sarayana Sercarz | Marriage & Family Therapist | 4080 Woking Way, Los Angeles, CA 90027 | 2020-02-27 |
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1477199297 | Molly Rose Holmes | Marriage & Family Therapist | 3901 Los Feliz Boulevard, #303, Los Angeles, CA 90027 | 2019-11-27 |
| 1588206171 | Dental Help Solutions, LLC | Dentist | 4606 Hollywood Blvd, Suite A, Los Angeles, CA 90027 | 2019-10-15 |
| 1457905986 | Carmen L Ponce | Physical Therapy Assistant | 4867 Sunset Ave, Los Angeles, CA 90027 | 2019-08-01 |
| 1447729009 | Matthew Mendoza | Respiratory Therapist, Registered | 4867 Sunset Blvd, Los Angeles, Ca, Los Angeles, CA 90027 | 2018-11-13 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| Find all providers in zip 90027 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260087 | Liezl Ann Bobila Bautista | Nurse Practitioner | 3317 Bagley Ave Apt 6, Los Angeles, CA 90034-2866 | 2019-08-15 |
| 1780155085 | Amy Parker | Nurse Practitioner | 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 | 2018-12-12 |
| 1285100172 | Kellie Ann Loera | Nurse Practitioner | 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 | 2018-10-17 |
| 1629553649 | Jamie Duly | Nurse Practitioner | 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 | 2018-09-25 |
| 1942788047 | Annie Lee Thomson | Nurse Practitioner | 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 | 2018-07-31 |
| 1205347739 | Carrie Locken Collins | Nurse Practitioner | 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 | 2017-10-24 |
| 1053821553 | Kimberly Brooke Adams | Nurse Practitioner | 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 | 2017-10-10 |
| 1013360213 | Kelly Barth | Nurse Practitioner | 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 | 2016-07-22 |
| 1003261272 | Laura Elvira Espinosa | Nurse Practitioner | 2831 Vaquero Ave, Los Angeles, CA 90032-3008 | 2016-04-25 |
| 1689059016 | Sandra Moon | Nurse Practitioner | 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230 | 2015-07-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90027 |
Please comment or provide details below to improve the information on MR. DOMINIC E. B. KOH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.