Bobby Ko MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C037592 Issued in CA

Legal business name

BOBBY KO MD INC

Practice address

15217 Leffingwell Rd
Whittier, CA 90604

Phone

(562) 944-0307

Fax

(562) 944-0309

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bobby Chu Ko, MDNPI 1174621957

Title

Pres Bobby Ko MD & NC & 100 Owner

Phone

(562) 944-0307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobby Chu Ko, MD

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1174621957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306938642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15217 LEFFINGWELL RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90604",
            "telephone_number": "562-944-0307",
            "fax_number": "562-944-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15217 LEFFINGWELL RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90604",
            "telephone_number": "562-944-0307",
            "fax_number": "562-944-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY KO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "CHU",
        "authorized_official_title_or_position": "PRES BOBBY KO MD & NC & 100 OWNER",
        "authorized_official_telephone_number": "562-944-0307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C037592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Nicole Blandino
• Belissa Blommer
• Blue Skies Treatment Center LLC
• Breanna Kristen Blumer, MA, CCC-SLP
• Julia Alejandra Bobadilla
• Heather Nichole Bixby Bocianski, OTR/L
• Amanda Boggs
• Joyce M Bond, PA
• Samuel Bonderov
• Emanuela Maria Bonfoco, MD, PHD

• Family Medicine Physician in Whittier, CA
• Providers in Whittier, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.