Maria Kootsikas, MARIA KOOTSIKAS

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

35821 Issued in CA

Practice address

1502 S. Crescent Heights Boulevard
Los Angeles, CA 90035-3816

Phone

(323) 933-0531

NPI assigned

Jan 6, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1366772816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S. CRESCENT HEIGHTS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353816",
            "telephone_number": "323-933-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S. CRESCENT HEIGHTS BOULEVARD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353816",
            "telephone_number": "323-933-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOTSIKAS",
        "first_name": "MARIA",
        "credential": "MARIA KOOTSIKAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "35821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soheil Kooraki, MD
• Sara Koorjee, ND
• Koorosh Joshua Elihu, a Professional Corporation
• Brian John Koos, MD
• Emily Rose Koos
• Limor Kopel, MA
• Kristin Aamodt Kopelson, MS, RN, NP
• Hayley Kopf
• Kimberly Kopita, MS
• Kimberly Yuri Kopowski-Limber, OT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.