Katherine Koligian
Physician Assistant in Los Angeles, CA. Individual provider (NPI-1).
NPI number1619703709
StatusActive
Last updated in NPPESDec 9, 2025
Details
- NPI
- 1619703709
- Entity type
- Individual (NPI-1)
- Name
- Katherine Koligian
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2024
- Certification date
- Dec 9, 2025
- Last updated
- Dec 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 67107 | CA | Yes |
Practice location
8635 W 3rd St Ste 990wLos Angeles, CA 90048-6116
Phone 310-423-5900
Mailing address
8223 Blackburn Ave Apt 205Los Angeles, CA 90048-4276
Phone 559-930-5083
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