Individual
DR. JOHN Y.M. KOO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 SPRUCE ST, SAN FRANCISCO, CA 94118-2616
(415) 476-4701
(415) 502-4126
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G48584
CA
2084P0800X
Psychiatry Physician
Primary
G48584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G4858400
—
CA
Enumeration date
05/06/2006
Last updated
09/11/2025
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