Active NPI
Julianna Ko
- Dentist
- Los Angeles, CA
National Provider Identifier
1346835196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103953
- Practice address
- Herman Ostrow School of Dentistry 925 W 34TH St
Los Angeles, CA 90089-0001 - Phone
- (213) 740-2805
- NPI assigned
- Mar 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 103953 | CA | Primary |
Addresses
Primary practice location
Herman Ostrow School of Dentistry 925 W 34TH St
Los Angeles, CA 90089-0001
Mailing address
300 S Santa Fe Ave Apt 557
Los Angeles, CA 90013-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103953 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1346835196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S SANTA FE AVE APT 557",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900133113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HERMAN OSTROW SCHOOL OF DENTISTRY 925 W 34TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890001",
"telephone_number": "213-740-2805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "JULIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.