Basic Information
Provider Information
NPI: 1861703787
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KOSER
FirstName: KAREN
MiddleName: HEATHER
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5550 HOLLYWOOD BLVD APT 445
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900289603
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: CHILDREN'S HOSPITAL OF LOS ANGELES
Address2: 4650 SUNSET BLVD. MS#53
City: LOS ANGELES
State: CA
PostalCode: 90027
CountryCode: US
TelephoneNumber: 3233613849
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/24/2010
LastUpdateDate: 07/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X264944NYN Allopathic & Osteopathic PhysiciansPediatrics 
2080P0006XC162529CAY Allopathic & Osteopathic PhysiciansPediatricsDevelopmental – Behavioral Pediatrics

No ID Information.


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