Koo, Alec Sandy
Koo, Alec Sandy is an individual health care provider with primary practice located at 23600 Telo Ave Ste 220 , Torrance CA 90505-4039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Koo, Alec Sandy can be contacted via phone (310) 602-5005.Contact Information
Primary practice address
23600 Telo Ave Ste 220
Torrance CA 90505-4039
Phone: (310) 602-5005
Fax: (310) 373-7895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G61375 | California |
Profile Details
| NPI number | 1740236066 |
|---|---|
| LBN Legal business name | Koo, Alec Sandy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Oct 25th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740236066 | NPPES |
| California | MEDICAID | 00G613750 |
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