Individual
WEI-FANG KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19845 LAKE CHABOT RD, SUITE, 104, CASTRO VALLEY, CA 94546-4055
(510) 537-4415
Mailing address
19845 LAKE CHABOT RD, SUITE, 104, CASTRO VALLEY, CA 94546-4055
(510) 537-4415
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A62022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ25407Z
SERVICE LOCATIONS WITH ZIP 94545
CA
01
—
ZZZ25408Z
SERVICE LOCATION ZIPCODE 94546 AND 94541
CA
Enumeration date
08/31/2006
Last updated
08/01/2022
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