Individual
DR. DONG HWAN KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10929 SOUTH ST, STE 202B, CERRITOS, CA 90703-5340
(562) 569-5580
(562) 776-9496
Mailing address
10929 SOUTH ST, STE 202B, CERRITOS, CA 90703-5340
(562) 569-5580
(562) 776-9496
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY19860
CA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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