Koo, Edward H

Koo, Edward H is an individual health care provider with primary practice located at 9500 Gilman Dr Mail Code 0691, La Jolla CA 92093-5004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neuropathology is his primary health care specialty. Koo, Edward H can be contacted via phone (858) 822-1024.

Contact Information

Primary practice address
9500 Gilman Dr Mail Code 0691 La Jolla CA 92093-5004
Fax: (858) 822-1021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X G47266 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G47266 California

Profile Details

NPI number 1144245606
LBN Legal business name Koo, Edward H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1144245606 NPPES
California MEDICAID 00G472660

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