Individual provider · Type 1 NPI
Katie Besanko
Medical Physician Assistant · Los Angeles, CA
NPI number
1114638053
Active
Practice location
1762 Westwood Blvd Ste 320
Los Angeles, CA 90024-5641
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 66807 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1114638053
Katie Besanko's National Provider Identifier is 1114638053, issued on Dec 12, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 18, 2026.