Active NPI
Angie Young Koo, MD
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1649858044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A181024
- Practice address
- 5419 W Sunset Blvd
Los Angeles, CA 90027-5691 - Phone
- (323) 769-6100
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A181024 | CA | Primary |
Addresses
Primary practice location
5419 W Sunset Blvd
Los Angeles, CA 90027-5691
Mailing address
5419 W Sunset Blvd
Los Angeles, CA 90027-5691
Phone (323) 769-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241101000917 | CA | Order and Referring Only - Psychiatry | 8820521537 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A181024 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763078400000",
"number": "1649858044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5419 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275691",
"telephone_number": "323-769-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5419 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275691",
"telephone_number": "323-769-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOO",
"first_name": "ANGIE",
"middle_name": "YOUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A181024",
"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 Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.