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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033147913 | NPPES |
| California | MEDICAID | 00G441290 |
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