Vienna Victoria Kotler, PA
Physician Assistant in La Jolla, CA. Individual provider (NPI-1).
NPI number1104499136
StatusActive
Last updated in NPPESSep 1, 2026
Details
- NPI
- 1104499136
- Entity type
- Individual (NPI-1)
- Name
- Vienna Victoria Kotler
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2021
- Certification date
- Sep 1, 2026
- Last updated
- Sep 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA68402 | CA | Yes |
| 363A00000X | Physician Assistant | 267826 | NY | |
| 363A00000X | Physician Assistant | 027399 | NY | |
| 363A00000X | Physician Assistant | 111918-01 | NY |
Other names
- Vienna Histon-Figliolini (Former Name)
Practice location
9300 Campus Point DrLa Jolla, CA 92037-1300
Phone 800-926-8273
Mailing address
File 57326Los Angeles, CA 90074-7326
Phone 800-926-8273
Other practice locations
630 W 168th St
New York, NY 10032-3725
New York, NY 10032-3725
Phone 646-317-4590
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