Kimiko Agari
Kimiko Agari is an Otolaryngology in Los Angeles, California. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 7
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
1200 N State StLos Angeles, CA 90089-1001
Phone: (209) 482-7872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence DDS100623 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1043665219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 25, 2016 |
| Last updated in NPPES | January 20, 2024 |
| Certification date | January 20, 2024 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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