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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1649376823 NPPES
California MEDICAID 00G757210

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