Individual
CHRISTINE F KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5426 CENTRAL AVE, NEWARK, CA 94560-4408
(510) 744-9100
Mailing address
5426 CENTRAL AVE, NEWARK, CA 94560-4408
(510) 744-9100
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
9941T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DL579A
MEDICARE PTAN
CA
01
—
SD0099410
MEDICAL
CA
Enumeration date
10/09/2007
Last updated
12/12/2013
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