Koo, Choon Sil
Koo, Choon Sil is an individual health care provider with primary practice located at 999 San Bernardino Rd , Upland CA 91786-4920. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Koo, Choon Sil can be contacted via phone (909) 985-2811.Contact Information
Primary practice address
999 San Bernardino Rd
Upland CA 91786-4920
Phone: (909) 985-2811
Fax: (909) 920-3827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | A31561 | California |
Profile Details
| NPI number | 1265427595 |
|---|---|
| LBN Legal business name | Koo, Choon Sil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1265427595 | NPPES |
| California | MEDICAID | 00A315610 |
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