Individual
PING-RU TERESA KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 LAWRENCE EXPY, DEPT 407, PEDIATRIC NEUROLOGY, SANTA CLARA, CA 95051-5173
(408) 851-1240
Mailing address
710 LAWRENCE EXPY, DEPT 407, PEDIATRIC NEUROLOGY, SANTA CLARA, CA 95051-5173
(408) 851-1240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A114331
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
A114331
CA
Other
Enumeration date
12/14/2010
Last updated
12/15/2021
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