Individual
DR. IRENE SORA KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.A.O.M
Contact information
Practice address
715 N CENTRAL AVE STE 102, GLENDALE, CA 91203-1286
(323) 912-9200
Mailing address
715 N CENTRAL AVE STE 102, GLENDALE, CA 91203-1286
(323) 912-9200
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7281
CA
Other
Enumeration date
03/20/2008
Last updated
01/21/2022
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