Koo, Edward Y
Koo, Edward Y is an individual health care provider with primary practice located at 1720 El Camino Real Ste 225 , Burlingame CA 94010-3230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Koo, Edward Y can be contacted via phone (650) 697-3200.Contact Information
Primary practice address
1720 El Camino Real Ste 225
Burlingame CA 94010-3230
Phone: (650) 697-3200
Fax: (650) 697-3203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G75721 | California |
Profile Details
| NPI number | 1649376823 |
|---|---|
| LBN Legal business name | Koo, Edward Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jun 10th, 2019 - about 5 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 | 1649376823 | NPPES |
| California | MEDICAID | 00G757210 |
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