Individual
BRIAN KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 N SEPULVEDA BLVD STE 210, MANHATTAN BCH, CA 90266-6849
(310) 379-2134
Mailing address
111 N SEPULVEDA BLVD STE 210, MANHATTAN BCH, CA 90266-6849
(310) 379-2134
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/23/2016
Last updated
11/07/2016
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