Healthcare Provider Details

I. General information

NPI: 1861703787
Provider Name (Legal Business Name): KAREN HEATHER KOSER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 01/19/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDREN'S HOSPITAL OF LOS ANGELES 4650 SUNSET BLVD. MS#53
LOS ANGELES CA
90027
US

IV. Provider business mailing address

5550 HOLLYWOOD BLVD APT 445
LOS ANGELES CA
90028-9603
US

V. Phone/Fax

Practice location:
  • Phone: 323-361-3849
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number264944
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberC162529
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: