Koo, John Y.M.

Koo, John Y.M. is an individual health care provider with primary practice located at 515 Spruce St , San Francisco CA 94118-2616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Koo, John Y.M. can be contacted via phone (415) 476-4701.

Contact Information

Primary practice address
515 Spruce St San Francisco CA 94118-2616
Phone: (415) 476-4701
Fax: (415) 502-4126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G48584 California
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G48584 California

Profile Details

NPI number 1245289594
LBN Legal business name Koo, John Y.M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Jul 9th, 2007 - about 18 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 1245289594 NPPES
California MEDICAID 0G4858400

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