Individual
ARA KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 SAN PABLO ST STE 2000, LOS ANGELES, CA 90033-5331
(323) 442-5908
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56108
CA
Other
Enumeration date
10/08/2018
Last updated
03/09/2023
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