Organization
JOHN J KOO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J KOO M.D. (OWNER)
(808) 352-1981
Entity
Organization
Contact information
Practice address
640 ULUKAHIKI ST, KAILUA, HI 96734-4454
(808) 263-5500
Mailing address
PO BOX 25490, HONOLULU, HI 96825-0490
(808) 536-0300
(808) 536-0320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-14092
HI
208M00000X
Hospitalist Physician
MD-14092
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
591041
—
HI
Enumeration date
05/23/2011
Last updated
05/23/2011
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