| Doctor Name: | MRS. ELENA KOGAN |
| NPI Number: | 1033391065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | TG132 |
| Business Practice Address: | 18905 Sherman Way 2 Nd Floor Reseda, CA - 913352600 |
| Business Phone Number: | 8187050548 |
| Business Fax Number: | 8187050579 |
| Mailing Address: | 18905 Sherman Way, 2 Nd Floor RESEDA |
| State: | CA |
| Postal Code: | 913352600 |
| Phone Number: | 8187050548 |
| Fax Number: | 8187050579 |
| NPI Enumeration Date: | 11/30/2007 |
| NPI Last Update Date: | 11/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | TG132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |