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Organization
SANDY S KOH M.D., INC
Active
Organization
SANDY S KOH M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDY S KOH M.D. (PRESIDENT)
(626) 350-2196
Entity
Organization
Contact information
Practice address
2727 PECK RD, EL MONTE, CA 91733-2434
(626) 350-2196
(626) 350-4030
Mailing address
3419 TYLER AVE, EL MONTE, CA 91731-3103
(626) 350-2197
(626) 350-2111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A34583
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083726905
—
CA
05
—
1245398700
—
CA
Enumeration date
12/10/2008
Last updated
12/10/2008
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