Karen E. Koe M.D., Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

KAREN E. KOE M.D., INC

Practice address

10861 Cherry St Ste 103
Los Alamitos, CA 90720-5403

Phone

(562) 595-1961

Fax

(562) 595-5351

NPI assigned

Sep 24, 2021

Last updated

Sep 24, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ruby Rosales

Title

Manager

Phone

(562) 826-6534

Specialties & licenses 2

Addresses

Other names 1

• Long Beach Obstetrics & Gynecology Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1255002655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 103",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-595-1961",
            "fax_number": "562-595-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 103",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-595-1961",
            "fax_number": "562-595-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN E. KOE M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-826-6534"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Obstetrics & Gynecology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Gynecology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.