DR. MI KYUNG KO


Address: 18300 Roscoe Blvd, Department of Radiation Oncology, Northridge, CA 91325-4105
Phone: 8188855331

DR. MI KYUNG KO (NPI# 1184711954) 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) 1184711954
Entity Type Individual
Full Name DR. MI KYUNG KO
Other Name DR. MICKI KO
Credential M.D.
Practice Address 18300 Roscoe Blvd
Department of Radiation Oncology
Northridge
CA 91325-4105
Mailing Address Po Box 8256
Spring
TX 77387-8256
Practice Telephone 8188855331
Practice Fax Number 3109432703
Mailing Telephone 7134675700
Mailing Fax Number 7134675702
Enumeration Date 2006-10-05
Last Update Date 2018-07-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0001X Radiology
Specialization: Radiation Oncology
A83307 CA Allopathic & Osteopathic Physicians
Y 2085R0001X Radiology
Specialization: Radiation Oncology
P8489 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A833070 05

Office Location

Street Address 18300 ROSCOE BLVD
DEPARTMENT OF RADIATION ONCOLOGY
City NORTHRIDGE
State CA
Zip Code 91325-4105

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134128556 Carl Lester Singerman Internal Medicine 18300 Roscoe Blvd, Northridge, CA 91325-4105 2005-07-18
1740891464 Kristine Oshins Registered Nurse 18300 Roscoe Blvd, Northridge, CA 91325-4167 2020-08-14
1871103317 Clarkian Medical Internal Medicine 18300 Roscoe Blvd, Northridge, CA 91325-4105 2020-08-07
1356950331 Shelly L Worch Registered Nurse 18300 Roscoe Blvd, Northridge, CA 91325-4105 2020-07-27
1013525997 Saba Gaffar, Md, Inc. Pediatrics 18300 Roscoe Blvd, Northridge, CA 91325-4105 2020-07-16
1649895186 Valley Anesthesia Physicians Medical Group Anesthesiology 18300 Roscoe Blvd, Northridge, CA 91325-4105 2020-06-10
1578186714 Abisola O Oshodi-adebowale Respiratory Therapist, Certified 18300 Roscoe Blvd, Northridge, CA 91325-4105 2020-05-22
1992337380 Cep America - Neurology PC Psychiatry & Neurology 18300 Roscoe Blvd, Northridge, CA 91325-4105 2020-02-04
1184289464 Shivoni Gerard Occupational Therapist 18300 Roscoe Blvd, Northridge, CA 91325-4105 2019-05-02
1336702547 Michelle Homyak Md PC Anesthesiology 18300 Roscoe Blvd, Northridge, CA 91325-4105 2019-04-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396346961 Patricia Yamilet Morales Registered Nurse 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 2020-11-02
1790342897 Northridge Kidney Center, LLC Clinic/Center 17710 Roscoe Blvd, Northridge, CA 91325 2019-05-23
1063078376 Ozlem Alper Student in an Organized Health Care Education/Training Program 18497 Dearborn St, Unit 112, Northridge, CA 91325 2019-05-13
1144883489 Better Sober Clinic/Center 9339 Louse Ave, Northridge, CA 91325 2019-04-22
1902383920 Ntr Resources, LLC Pathology 17433 Nordhoff, Northridge, CA 91325 2018-07-23
1043713969 Poly-med Pharmacy Inc Pharmacy 17313 Roscoe Blvd, Northridge, CA 91325 2018-03-16
1982151940 Maria Dakessian Dentist 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 2016-09-07
1487019469 Beshoy Gerges Pharmacist 8254 White Oak Ave Unit 4, Northridge, CA 91325 2015-12-17
1235520305 Gema Bautista Social Worker 8550 Balboa Blvd Ste 216, Northridge, CA 91325 2015-02-11
1083018873 Sosann Haider Pharmacist 18444 Plummer St., Northridge, CA 91325 2014-10-22
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568883247 Regents of The University of California Radiology 18300 Roscoe Blvd, Northridge, CA 91325-4105 2013-12-23
1528025749 Meghan E Blake Radiology 18436 Roscoe Blvd, Northridge, CA 91325-4107 2006-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154933034 Andrew Lim Radiology 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 2020-08-20
1083275200 Centerpoint Radiation Oncology, Inc. Radiology 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 2019-06-27
1922450840 Cynthia Bajada Chasan Radiology 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 2016-07-02
1871906396 Sammy Mohamed Ashouri Radiology 300 Pasteur Dr Rm H1330, Stanford, CA 94305 2014-06-03
1235540469 Julian C Hong Radiology 1825 4th St Rm M2260, San Francisco, CA 94143-2350 2014-05-09
1295155422 Rishabh Chaudhari Radiology 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 2014-04-28
1407278211 Vincent S. T. Cheng Radiology 6022 W Sweet Dr, Visalia, CA 93291-8924 2014-01-13
1487085221 Peter Allison Austin Radiology 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 2013-12-04
1760820666 Sandra Birdwell Radiology 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 2013-06-13
1063859874 John Vidyadhar Hegde Radiology Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 2013-06-03
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Competitor

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City NORTHRIDGE
Zip Code 91325

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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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