Larry Allen Kozek, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

24674 Issued in CA

Practice address

436 N Roxbury Drive Suite 109
Beverly Hills, CA 90210

Phone

(310) 385-1311

Fax

(310) 385-1377

NPI assigned

May 28, 2008

Sex

Male

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

State licenses

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1760640668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DRIVE SUITE 109",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-385-1311",
            "fax_number": "310-385-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DRIVE SUITE 109",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90210",
            "telephone_number": "310-385-1311",
            "fax_number": "310-385-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZEK",
        "first_name": "LARRY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "24674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan B Koursh, M.D.
• Anita P Kovacic, MD
• Michelle Stephanie Koval, RPA-C
• Bunrith Koy, D.O.
• Lynn Koza, PH.D.
• Ekaterina (Kate) Kozlova
• Erica Krakovitz, PSYD
• Marc S Kramer, D.C.
• Rachel J Kramer, M.D.
• Evan Paul Kransdorf, MD

• Dental Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.