Koolwijk, Irene

Koolwijk, Irene is an individual health care provider with primary practice located at 300 Ucla Medical Plz Ste 3300 , Los Angeles CA 90095-6062. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Koolwijk, Irene can be contacted via phone (310) 825-0867.

Contact Information

Primary practice address
300 Ucla Medical Plz Ste 3300 Los Angeles CA 90095-6062
Phone: (310) 825-0867
Fax: (310) 206-4855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A121627 California
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X A121627 California
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X A121627 California

Profile Details

NPI number 1518164706
LBN Legal business name Koolwijk, Irene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Apr 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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