Katie Marks Cogan MD Inc a California Professional Medical Corporation

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

Legal business name

KATIE MARKS COGAN MD INC A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION

Practice address

3831 Hughes Ave Ste 600a
Culver City, CA 90232-6843

Phone

(424) 603-4544

Fax

(424) 603-4546

NPI assigned

Apr 14, 2022

Last updated

Apr 14, 2022By 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

Dr. Katie Marks, MDNPI 1154596047

Title

Shareholder

Phone

(443) 610-3059

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.

• Katie L Marks, M.D.

  • Internal Medicine Physician
  • Culver City, CA
  • NPI 1154596047
  NPD Authorized official

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1457094799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 HILLSBORO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900341121",
            "telephone_number": "443-610-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 600A",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326843",
            "telephone_number": "424-603-4544",
            "fax_number": "424-603-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE MARKS COGAN MD INC A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "443-610-3059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology (Internal Medicine) Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Allergy & Immunology (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.