Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bernice Tan Ko

Individual provider Endodontics · NPI 1417174467

Dr. Bernice Tan Ko is an Endodontics in Venice, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

323 Lincoln Blvd
Venice, CA 90291-2842
Phone: (310) 392-4103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 40163 (CA)

Record details

NPI number1417174467
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 19, 2007
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022
Mailing address10317 Missouri Ave, 1, Los Angeles, CA 90025-5080