Bernice Tan Ko
Endodontics · Venice, CA
Practice location
323 Lincoln BlvdVenice, CA 90291-2842
- Phone
- (310) 392-4103
NPI record
- NPI
- 1417174467
- Entity type
- Individual (Type 1)
- Enumeration date
- April 19, 2007
- Last updated
- April 28, 2022
- Certified
- April 28, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Endodontics Primary | 1223E0200X |
40163 | CA |
Mailing address
10317 Missouri Ave#1
Los Angeles, CA 90025-5080
- Phone
- (310) 557-2712
About Bernice Ko
Bernice Tan Ko is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 323 Lincoln Blvd, Venice, CA 90291-2842. The NPI number 1417174467 was assigned on April 19, 2007 and the record was last updated on April 28, 2022.
Bernice Ko lists a license in the registry: #40163 (CA) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Bernice Tan Ko?
The NPI number is 1417174467.
What is the phone number of Bernice Ko?
The phone number listed for the practice location is (310) 392-4103.
Where is Bernice Ko located?
323 Lincoln Blvd, Venice, CA 90291-2842.
What is the taxonomy code for Bernice Ko?
The primary taxonomy code is 1223E0200X – Endodontics.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.