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General NPI Number Information
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NPI Number | 1932143963
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Entity Type | Individual
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Provider Name | DAVID Y. KO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 11201 BENTON ST # 2A-205
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City | LOMA LINDA
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State | CA
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Zip | 92357-5310
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Country | US
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Telephone | 909-825-7084
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Fax | 909-777-3814
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Provider Business Mailing Address
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Address Line | 3240 LOMBARDY RD
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City | PASADENA
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State | CA
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Zip | 91107-5533
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Country | US
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Telephone | 323-697-9802
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | G81872
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | G81872
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | G81872
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License Number State | CA
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