Most Relevant Information
Provider Data
NPI Number: | 1003381971 |
Provider Name: | ARA KO |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 56108 |
Most Important Dates
Enumeration Date: | 10/08/2018 |
Last Updated: | 03/09/2023 |
Provider Practice Location
1450 SAN PABLO ST STE 2000
LOS ANGELES
CA
900335331
Practice Location Phone/Fax
Phone: | 3234425908 |
Fax: |
Provider Mailing Location
PO BOX 31309
LOS ANGELES
CA
900310309
Provider Mailing Phone/Fax
Phone: | 6264576601 |
Fax: |