Ko, Je Deuk
Ko, Je Deuk is an individual health care provider with primary practice located at 10921 Wilshire Blvd Ste 409B , Los Angeles CA 90024-4001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Ko, Je Deuk can be contacted via phone (310) 922-0584.Contact Information
Primary practice address
10921 Wilshire Blvd Ste 409B
Los Angeles CA 90024-4001
Phone: (310) 922-0584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 278739 | Massachusetts |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A179040 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 278739 | Massachusetts |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 2016021108 | Missouri |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 179040 | California |
Profile Details
| NPI number | 1356792758 |
|---|---|
| LBN Legal business name | Ko, Je Deuk |
| Credentials | M.D. PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2016 |
| Last updated | Jul 30th, 2025 - about last year |
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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