MS. MARY JANE KOON FNP
NPI 1114175825
Nurse Practitioner - School in Los Angeles, CA

Active since September 05, 2008
1430 SAN JULIAN ST, NURSING SERVICES BUILDING 2, LOS ANGELES, CA 90015(213) 765-2800(213) 765-3861 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Jane Koon Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY JANE KOON FNP (NPI 1114175825) is an individual school provider in Los Angeles, California, licensed in California (313818) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1114175825
Entity TypeIndividualFemale
Primary Taxonomy363LS0200X
Provider Legal NameMS. MARY JANE KOONCredential: FNP
Location Address1430 SAN JULIAN ST, NURSING SERVICES BUILDING 2Los Angeles, CA 90015-3142
Mailing Address1430 San Julian St, Nursing Services Building 2Los Angeles, CA 90015-3142 · (213) 765-2800 · Fax (213) 765-3861
Fax(213) 765-3861
Sole ProprietorYes
Enumeration DateSeptember 5, 2008
NPI 1114175825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · SchoolPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LS0200X
License Licensed in CA · 313818
1430 SAN JULIAN ST, Los Angeles, CA 90015

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (School)
1430 SAN JULIAN ST, NURSING SERVICES, BUILDING 2
LOS ANGELES, CA 90015
Registered Nurse (School)
1430 SAN JULIAN ST, 2
LOS ANGELES, CA 90015
Nurse Practitioner (School)
1430 SAN JULIAN ST, NURSING SERVICES, BUILDING 2
LOS ANGELES, CA 90015
Nurse Practitioner (School)
1430 SAN JULIAN ST, NURSING SERVICES BLDG. 2
LOS ANGELES, CA 90015
Pediatrics
1430 SAN JULIAN ST, BUILDING 2
LOS ANGELES, CA 90015
Family Medicine
1430 SAN JULIAN ST
LOS ANGELES, CA 90015
Nurse Practitioner (School)
1430 SAN JULIAN ST, NURSING SERVICES, BUILDING 2
LOS ANGELES, CA 90015
Nurse Practitioner (School)
1430 SAN JULIAN ST, NURSING SERVICES, BUILDING 2
LOS ANGELES, CA 90015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Koon's NPI number?

The NPI number for Mary Koon is 1114175825. It was assigned to this individual provider in the NPPES registry on September 5, 2008.

Where is Mary Koon located?

Mary Koon practices at 1430 San Julian St Nursing Services Building 2, Los Angeles, CA 90015. The listed phone number is (213) 765-2800.

What is Mary Koon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.

When was this NPI record last updated?

The NPPES record for Mary Koon was last updated on September 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.