Search Results
Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
Return to Search Licensees page
|
KOTTLER, NINA ELLEN
|
|
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
|
| Practice Address: |
2101 E EL SEGUNDO BLVD
SUITE 401
EL SEGUNDO CA 90245
Address last updated on 1/11/2022 |
| Phone #: |
(424) 290-8316 |
| Fax #: |
(424) 290-8316 |
| County: |
NOT OKLAHOMA |
| License: |
24289 |
| Dated: |
2/9/2005 |
| Expires: |
2/1/2025 |
|
Temp.
Lic.
Issued:
|
1/6/2005 |
|
Temp.
Lic.
Expires:
|
3/12/2005 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of MA Med Sch, Worcester Ma 01655 |
| Graduated: |
6 /
2000 |
| CME Year: |
2026 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Community Hospital - OKC
Oklahoma City, OK
Duncan Regional Hospital
Duncan, OK
Grady Memorial Hospital
Chickasha, OK
Hospital Not Listed
,
Hospital(s) Not In Oklahoma
,
Northwest Surgical Hospital
Oklahoma City, OK
Southwestern Medical Center
Lawton, OK
Wagoner Community Hospital
Wagoner, OK
|
|
|
|
|
Return to Search Licensees page
