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Licensing details for: A 128255

Name: KOTHAKOTA, BHARAT

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: Howard University College of Medicine

Graduation Year: 2009

Address of Record

1426 Montana Ave
Ste 2
SANTA MONICA CA 90403-6739
LOS ANGELES county
Map

Issuance Date

December 30, 2013

Expiration Date

December 31, 2027

Current Date / Time

August 10, 2026
7:56:27 AM

Public Record Actions

Public Documents

Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Decline to State
Postgraduate Training Years
Decline to State
Primary Area of Practice
Emergency Medicine
Secondary Area of Practice
Decline to State
ABMS Certifications
American Board of Emergency Medicine - Emergency Medicine
Are you retired?
Decline to state
Practice Activities
Direct Patient Care (including telehealth) - 40+ Hours
Percentage (%) of patient care hours spent on telehealth - 10
Training - Decline to State
Research - Decline to State
Administration - 10-19 Hours
Other - Decline to State
Primary Practice Location
Zip - 90403
United States Primary Practice Location
Secondary Practice Location
Not Applicable
Are you Hispanic, Latino/a, or of Spanish origin?
Decline to State
Race
Decline to State
Language Fluency
Decline to State
Gender Identity
Decline to State

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