Individual
DR. DERRICK T. KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
20568 STEVENS CREEK BLVD, CUPERTINO, CA 95014-2130
(408) 777-9000
(408) 777-9009
Mailing address
20568 STEVENS CREEK BLVD, CUPERTINO, CA 95014-2130
(408) 777-9000
(408) 777-9009
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT 13260 TPA
CA
Other
Enumeration date
08/06/2007
Last updated
01/30/2010
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