Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 192217 | NY |
Y | 207K00000X | Allergist & Immunologist | G31312 | CA |
NPI | 1073699724 |
---|---|
Provider Name | Dr. Barry Allen Kohn |
First Address | Los Angeles, CA 90028-8903 |
Second Address | Los Angeles, CA 90028-8903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A44719 | (02) | CA |