Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Vienna Victoria Kotler, PA

Individual provider Physician Assistant · NPI 1104499136

Vienna Victoria Kotler, PA is a Physician Assistant in LA Jolla, California. Works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2021
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9300 Campus Point Dr
LA Jolla, CA 92037-1300
Phone: (800) 926-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 630 W 168th St, New York, NY 10032-3725 — (646) 317-4590

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA68402 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 267826 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 027399 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 111918-01 (NY)

Record details

NPI number1104499136
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 19, 2021
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

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