Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | A147349 | CA |
Y | 208000000X | Pediatrician | 147349 | CA |
N | 2080P0201X | Pediatric Allergist | A147349 | CA |
NPI | 1881115632 |
---|---|
Provider Name | Lisa A Kohn |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2017 |
Last Update Date | 18/11/2021 |