Individual
DR. JE DEUK KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PH.D.
Contact information
Practice address
10921 WILSHIRE BLVD STE 409B, LOS ANGELES, CA 90024-4001
(310) 922-0584
Mailing address
9736 YOAKUM DR, BEVERLY HILLS, CA 90210-1436
(310) 922-0584
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
179040
CA
2084P0800X
Psychiatry Physician
278739
MA
2084P0804X
Child & Adolescent Psychiatry Physician
278739
MA
2084P0804X
Child & Adolescent Psychiatry Physician
A179040
CA
390200000X
Student in an Organized Health Care Education/Training Program
2016021108
MO
Other
Enumeration date
06/27/2016
Last updated
07/30/2025
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