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Organization
KYUNG K. RO, M.D., PROFESSIONAL CORPORATION
Active
Organization
KYUNG K. RO, M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYUNG K RO M.D. (PRESIDENT)
(714) 636-0343
Entity
Organization
Contact information
Practice address
12601 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1908
(714) 636-0343
(714) 636-0391
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(714) 636-0343
(714) 636-0391
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C51432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C514320
—
CA
Enumeration date
10/29/2007
Last updated
04/13/2015
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