Dr. Je Deuk Ko, MDPHD
Dr. Je Deuk Ko, MDPHD is a Psychiatry in Los Angeles, California. Graduated from Saint Louis University School of Medicine in 2016, 10 years ago. Practices with Baystate Medical Practices Inc, a 1,346-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Massachusetts and Missouri.
- Years since qualifying
- 10
- Trained at
- Saint Louis University School of Medicine
- Licensed in
- CA, MA, MO
- In the registry since
- 2016
- Specialties on file
- 5
Practice location Address checks out
10921 Wilshire Blvd Ste 409BLos Angeles, CA 90024-4001
Phone: (310) 922-0584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 179040 (CA) |
|---|---|
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X · Licence 278739 (MA) |
| Child & Adolescent Psychiatry Physician | Taxonomy 2084P0804X · Licence A179040 (CA) |
| Psychiatry Physician | Taxonomy 2084P0800X · Licence 278739 (MA) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X · Licence 2016021108 (MO) |
Record details
| NPI number | 1356792758 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDPHD |
| Sole proprietor | No |
| NPI enumerated | June 27, 2016 |
| Last updated in NPPES | July 30, 2025 |
| Certification date | July 30, 2025 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Baystate Medical Practices Inc — 1346 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
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