Koos, Brian John

Koos, Brian John is an individual health care provider with primary practice located at 200 Medical Plaza Suite 430, Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Koos, Brian John can be contacted via phone (310) 794-7274.

Contact Information

Primary practice address
200 Medical Plaza Suite 430 Los Angeles CA 90095-0001
Phone: (310) 794-7274
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X G44129 California

Profile Details

NPI number 1033147913
LBN Legal business name Koos, Brian John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Feb 13th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033147913 NPPES
California MEDICAID 00G441290

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