KAREN IRENE KOTELKO


Address: 5985 W Pico Blvd, Los Angeles, CA 90035-2652
Phone: 3239659161

KAREN IRENE KOTELKO (NPI# 1104361013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104361013
Entity Type Individual
Full Name KAREN IRENE KOTELKO
Practice Address 5985 W Pico Blvd
Los Angeles
CA 90035-2652
Practice Telephone 3239659161
Practice Fax Number 3239659751
Mailing Telephone 3239659161
Mailing Fax Number 3239659751
Enumeration Date 2016-12-31
Last Update Date 2016-12-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 47643 CA Pharmacy Service Providers

Office Location

Street Address 5985 W PICO BLVD
City LOS ANGELES
State CA
Zip Code 90035-2652

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205870557 Garfield Beach Cvs LLC Pharmacy 5985 W Pico Blvd, Los Angeles, CA 90035-2652 2006-06-16
1871132639 Shilpa Shaji Krishnan Pharmacist 5985 W Pico Blvd, Los Angeles, CA 90035-2652 2019-12-26

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1124514773 Bahareh Haykani Physician Assistant 1105 S La Peer Dr, Los Angeles, CA 90035 2018-07-06
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1407202393 Elham Azarmiazam Chiropractor 1016 South Robertson Blvd., Los Angeles, CA 90035 2016-05-10
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1972992949 Tali Shams Pharmacist 1108 South Lapeer Drive, Los Angeles, CA 90035 2015-01-14
1932598067 Edwin Gromis Orthopaedic Surgery 1122 South Robertson Blvd., Los Angeles, CA 90035 2015-01-13
1437568250 Edwin Gromis M.d. A Prof Corp Orthopaedic Surgery 1122 S. Robertson Blvd Suite 1, Los Angeles, CA 90035 2014-08-06
1073929725 David Javdon Dentist 1125 S. Beverly Dr., Suite #400, Los Angeles, CA 90035 2014-07-02
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740889336 D Zuniga Pharmacist 637 East 53rd Street, Los Angeles, CA 90011-4617 2020-10-23
1326645896 Haik Ovsepyan Pharmacist 5181 Sunset Blvd, Los Angeles, CA 90027-5715 2020-10-07
1689271595 Amany S Saad Pharmacist 4008 Rockwood St, Los Angeles, CA 90063-3521 2020-10-04
1558978254 Daniel Jimyong Oh Pharmacist 947 S Hoover St Apt 203, Los Angeles, CA 90006-1932 2020-09-26
1578170437 Sang Jin Park Pharmacist 504 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4454 2020-09-24
1033725528 Brandon Samson Pharmacist 4911 Townsend Ave, Los Angeles, CA 90041-2235 2020-09-20
1245843234 Afsaneh Lari Pharmacist 1399 Roxbury Dr Ste 200, Los Angeles, CA 90035-4714 2020-08-28
1912519661 Anahit Eranuhy Mestchyan Pharmacist 4355 Camero Ave, Los Angeles, CA 90027-5505 2020-08-22
1023629755 Patricia Sherry Oto Pharmacist 2215 Alcazar St Apt 345, Los Angeles, CA 90033-1003 2020-08-15
1336764562 Farbod Youshei Pharmacist 1905 Granville Ave, Los Angeles, CA 90025-1805 2020-06-12
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Competitor

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City LOS ANGELES
Zip Code 90035

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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