Koo, Chulhwe

Koo, Chulhwe is an sole proprietor health care provider with primary practice located at 3975 Jackson St #305, Riverside CA 92503-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Koo, Chulhwe can be contacted via phone (951) 352-5070.

Contact Information

Primary practice address
3975 Jackson St #305 Riverside CA 92503-3901
Fax: (951) 352-4241
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A45580 California

Profile Details

NPI number 1588628408
LBN Legal business name Koo, Chulhwe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588628408 NPPES
California MEDICAID 00A455800

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