Koe Medical Consulting, Inc.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A105818 Issued in CA

Legal business name

KOE MEDICAL CONSULTING, INC.

Practice address

5680 Trinidad Way
San Diego, CA 92114-5310

Phone

(773) 398-6867

NPI assigned

Feb 18, 2017

Last updated

Feb 18, 2017By 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

Kelly Elmore, MDNPI 1942274964

Title

President

Phone

(773) 398-6867

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Oberia Elmore, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1942274964
  NPD (past) Authorized official

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487376000000",
    "number": "1295274660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 IMPERIAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024031",
            "telephone_number": "773-398-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 TRINIDAD WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921145310",
            "telephone_number": "773-398-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOE MEDICAL CONSULTING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-18",
        "last_updated": "2017-02-18",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-398-6867",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A105818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jemelie J Koda, CCC-SLP
• Lay Kodama
• Reid Kodani, PHARMD
• Emilia Kodiath, DDS
• Mary F. Kodiath, NP
• Kristen Koeblin
• Ann Jelyn Koehn
• Edward Charles Koellhoffer, MD, PHD
• Sandra M Koellmann, ASW
• Alessandra Nichole Koenig

• Gynecology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; 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.