Healthcare Provider Details

I. General information

NPI: 1164083846
Provider Name (Legal Business Name): ERIKA KOH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA SAWKA MD

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 BROADWAY
REDWOOD CITY CA
94062-1512
US

IV. Provider business mailing address

2925 NE 36TH AVE
PORTLAND OR
97212-2835
US

V. Phone/Fax

Practice location:
  • Phone: 650-361-1177
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License Number25MA13217400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License NumberA208030
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberA208030
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number25MA13217400
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number345062
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code207NI0002X
TaxonomyClinical & Laboratory Dermatological Immunology Physician
License Number345062
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: