Individual
ALAN JAY KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7977 SVL BOX, VICTORVILLE, CA 92395-5163
(213) 804-6054
Mailing address
11965 LAMPLIGHTER LN, OAK HILLS, CA 92344-8688
(213) 804-6054
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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