Individual
BRIAN JOHN KOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, SUITE 430, LOS ANGELES, CA 90095-0001
(310) 794-7274
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-7274
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G44129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G441290
—
CA
Enumeration date
06/29/2006
Last updated
02/13/2015
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