Individual
MILTON L. KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H
Contact information
Practice address
5901 W OLYMPIC BLVD, SUITE 305, LOS ANGELES, CA 90036-4667
(323) 655-5068
(323) 935-0996
Mailing address
5901 W OLYMPIC BLVD, SUITE 305, LOS ANGELES, CA 90036-4667
(323) 655-5068
(323) 935-0996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A28785
CA
207QA0505X
Adult Medicine Physician
Primary
A28785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A287850
—
CA
Enumeration date
10/06/2006
Last updated
03/13/2009
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