# JOHN J KOO MD INC

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

## Provider details

- **NPI number:** 1275826307
- **Authorized official:** DR. JOHN J KOO M.D. (OWNER)
- **Authorized official phone:** (808) 352-1981

## Contact information

- **Practice address:** 640 ULUKAHIKI ST, KAILUA, HI 96734-4454
- **Practice address phone:** (808) 263-5500
- **Mailing address:** PO BOX 25490, HONOLULU, HI 96825-0490
- **Mailing address phone:** (808) 536-0300
- **Mailing address fax:** (808) 536-0320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD-14092 | HI | Yes |
| 208M00000X | Hospitalist Physician | MD-14092 | HI | — |

## Other

- **Enumeration date:** 05/23/2011
- **Last updated:** 05/23/2011