Bernice Tan Ko is a Endodontics in Los Angeles, California. Bernice Tan Ko practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Bernice Tan Ko is 1417174467. The last update date is 2022-04-28.
Bernice Tan Ko's current location address is 10317 Missouri Ave, Los Angeles, California. You can contact this provider via phone number 3105572712. The mailing address for Bernice Tan Ko is 10317 Missouri Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernice Tan Ko |
|---|---|
| Address | 10317 Missouri Ave, Los Angeles, California |
| Phone Number | 3105572712 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1417174467 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2022-04-28 |
Provider Mailing Address Detail
| Address | 10317 Missouri Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900255080 |
| Phone Number | 3105572712 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 40163 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique identification code assigned to Bernice Tan Ko by the Centers for Medicare & Medicaid Services?
The Bernice Tan Ko has been issued the NPI (National Provider Identifier) 1417174467. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bernice Tan Ko is geographically located?
The Bernice Tan Ko is physically situated at the following location: 10317 Missouri Ave, Los Angeles, CA, 900255080.
What is Bernice Tan Ko's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bernice Tan Ko's specialized field of practice is Endodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223E0200X.
On what date did Bernice Tan Ko receive its 1417174467 assignment from the Centers for Medicare & Medicaid Services?
The Bernice Tan Ko was assigned its 1417174467 on 2007-04-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Bernice Tan Ko last refreshed?
The information related to the Bernice Tan Ko, including its address, specialty, and other relevant details, was last updated on 2022-04-28.
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