Karen Chinonso Kagha Abisogun, MD
Dermatology in Los Angeles, CA. Individual provider (NPI-1).
Details
- NPI
- 1124474515
- Entity type
- Individual (NPI-1)
- Name
- Karen Chinonso Kagha Abisogun
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2016
- Certification date
- Jan 28, 2025
- Last updated
- Jan 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- Jul 1, 2026 to Jul 1, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 283125 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
9201 W Sunset Blvd Ste 602Los Angeles, CA 90069-3707
Phone 310-246-0495
Mailing address
50 Staniford St Ste 200Boston, MA 02114-2543
Phone 617-726-2914
Other practice locations
Myrtle Beach, SC 29572-4607
Phone 843-692-1595 · Fax 843-692-1122
Boston, MA 02114-2543
Phone 617-726-2914
Long Beach, CA 90808-1793
Phone 562-384-4241 · Fax 562-989-3612
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 180 Dermatology Physician providers in Los Angeles · All 84,021 providers in Los Angeles
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