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

Individual provider Anesthesiology Physician · NPI 1174544472

Mr. Nelson E Koe, MD is an Anesthesiology in Tarzana, California. Graduated from Creighton University School of Medicine in 1991, 35 years ago. Practices with Pacific Valley Medical Group, a 104-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
35
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18321 Clark St
Tarzana, CA 91356-3501
Phone: (310) 471-5852
Fax: (310) 471-3958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence G75682 (CA)

Record details

NPI number1174544472
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 21, 2006
Last updated in NPPESAugust 12, 2015
Mailing address11999 San Vicente Blvd, 440, Los Angeles, CA 90049-5131

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Pacific Valley Medical Group — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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