Individual provider · Type 1 NPI

Abigail Kolko

Primary Care Nurse Practitioner · Los Angeles, CA

NPI number 1609741008 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Mailing address

11746 Bellagio Rd Apt 205
Los Angeles, CA 90049-2184

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X95036781 (CA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1609741008

Abigail Kolko's National Provider Identifier is 1609741008, issued on Oct 7, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 7, 2025.