Individual
DR. CHULHWE KOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3975 JACKSON ST, #305, RIVERSIDE, CA 92503-3901
(951) 352-5070
(951) 352-4241
Mailing address
3975 JACKSON ST, #305, RIVERSIDE, CA 92503-3901
(951) 352-5070
(951) 352-4241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A45580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A455800
—
CA
Enumeration date
04/17/2006
Last updated
07/08/2007
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