Individual provider · Type 1 NPI

Dominic E. B. Koh, CPNP, ANP-C

Pediatric Nurse Practitioner · Los Angeles, CA

NPI number 1487657029 Active

Practice location

1530 Hillhurst Ave
Los Angeles, CA 90027-5516

Call (323) 644-3880 Map

Fax (323) 644-3892

Mailing address

2571 Rochelle Ave
Monrovia, CA 91016-4941

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner	363LA2200X	RN476192, NPF 8506 (CA)
Pediatric Nurse Practitioner Primary	363LP0200X	RN476192, NPF 8506 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1487657029

Dominic E. B. Koh, CPNP, ANP-C's National Provider Identifier is 1487657029, issued on May 27, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 6, 2010.