Individual
KRISTINE KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 E VALENCIA MESA, FULLERTON, CA 92835
(714) 992-3965
Mailing address
PO BOX 5809, FULLERTON, CA 92838-0809
(562) 809-3574
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G77835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G778350
—
CA
Enumeration date
05/27/2006
Last updated
07/02/2008
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