Organization
ALKA KOTHARI, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALKA R KOTHARI MD (PRESIDENT)
(562) 868-3751
Entity
Organization
Contact information
Practice address
13100 STUDEBAKER RD, NORWALK, CA 90650-2531
(562) 868-3751
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A490120
BLUE SHIELD GROUP ID
CA
05
—
00A490120
—
CA
Enumeration date
03/22/2006
Last updated
09/11/2025
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