Individual
MRS. CHRISTINE YANG KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6699 ALVARADO RD, SUITE 2100, SAN DIEGO, CA 92120-5238
(619) 229-3909
(619) 229-3902
Mailing address
6699 ALVARADO RD, STE 2100, SAN DIEGO, CA 92120-5238
(619) 229-3909
(619) 229-3902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CZ398Z
INDIVIDUAL PTAN
CA
01
—
W12026
GROUP PTAN
CA
Enumeration date
07/10/2006
Last updated
11/11/2011
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