Individual provider · Type 1 NPI

Derek Ko

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1558039669 Active

Practice location

515 Columbia Ave # 200
Los Angeles, CA 90017-1209

Call (213) 249-9388 Map

Fax (213) 389-7993

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558039669

Derek Ko's National Provider Identifier is 1558039669, issued on Sep 2, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 2, 2021.