Koe, Steven Randall

Koe, Steven Randall is an sole proprietor health care provider with primary practice located at 1000 Newbury Rd Suite 115, Newbury Park CA 91320-6436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Koe, Steven Randall can be contacted via phone (805) 375-1611.

Contact Information

Primary practice address
1000 Newbury Rd Suite 115 Newbury Park CA 91320-6436
Fax: (805) 375-1622
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A45900 California

Profile Details

NPI number 1174517296
LBN Legal business name Koe, Steven Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Oct 24th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174517296 NPPES
California Other 110233001 MEDICARE RAILROAD CARRIER
California MEDICAID OOA459000 MEDICARE RAILROAD CARRIER

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