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General NPI Number Information
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NPI Number | 1134120736
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Entity Type | Individual
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Provider Name | GERALD KO PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2005
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | 5151 STATE UNIVERSITY DR
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City | LOS ANGELES
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State | CA
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Zip | 90032-4226
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Country | US
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Telephone | 323-343-3317
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Fax |
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Provider Business Mailing Address
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Address Line | 4280 VIA ARBOLADA UNIT 223
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City | LOS ANGELES
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State | CA
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Zip | 90042-5088
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Country | US
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Telephone | 323-707-3488
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 53893
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License Number State | CA
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