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

Michael Deante Koger

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1194204016

Michael Deante Koger is a Student in an Organized Health Care Education/Training Program in Culver City, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

9808 Venice Blvd Ste 700
Culver City, CA 90232-6824
Phone: (310) 945-3350
Fax: (310) 945-3356
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1194204016
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2018
Last updated in NPPESAugust 10, 2018

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