# SANDY S KOH M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134364748
- **Authorized official:** DR. SANDY S KOH M.D. (PRESIDENT)
- **Authorized official phone:** (626) 350-2196

## Contact information

- **Practice address:** 2727 PECK RD, EL MONTE, CA 91733-2434
- **Practice address phone:** (626) 350-2196
- **Practice address fax:** (626) 350-4030
- **Mailing address:** 3419 TYLER AVE, EL MONTE, CA 91731-3103
- **Mailing address phone:** (626) 350-2197
- **Mailing address fax:** (626) 350-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | A34583 | CA | Yes |

## Other

- **Enumeration date:** 12/10/2008
- **Last updated:** 12/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1083726905 | — | CA |
| 05 | — | 1245398700 | — | CA |